Avulsion fractures of the anterior iliac spine in sports.

概要

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Avulsion fractures of the anterior iliac spine were observed in 6 adolescents. The patients, 5 boys and 1 girl, were between 12 and 15 years old. All the fractures occurred while the patients were engaged in vigorous sports, such as short-distance running and soccer. The avulsion fractures were of the anterior superior iliac spine in 4 cases and of the anterior inferior iliac spine in 2 cases. Open reduction was necessary in 5 patients in whom displacement of the superior or inferior iliac spine was more than 3cm. One patient was treated by cast immobilization. We consider that suitable treatment should be given as soon as possible after careful clinical and radiological assessment of avulsion fracture.