What is an avulsion fracture of the ischial tuberosity?

An avulsion fracture of the ischial tuberosity is when a small piece of this bone is pulled away from the rest of the pelvis bone. This injury is most commonly seen in adolescent athletes. Physiotherapy is important following an avulsion fracture of the ischial tuberosity.

What is an Apophyseal avulsion?

Apophyseal avulsion fractures of the pelvis are injuries that typically occur in adolescent athletes [1]. At this age the secondary ossification at the apophyses coincides with the hormonally induced strengthening of the muscles [2].

Which muscle causes most common avulsion injury?

Avulsion is caused by extreme active contraction of the hamstrings during, for example, sprinting by runners or sudden and excessive passive lengthening in cheerleaders or dancers (,11). Patients typically present with pain in the buttock region, an antalgic gait, or inability to walk (,6,,10).

How is a ischial tuberosity fracture treated?

In conclusion, although the majority of avulsion fractures of the ischial tuberosity can be treated conservatively, patients with excessive displacement require surgical treatment. The suture bridge technique is a useful technique that provides sufficient strength for avulsion fracture of the ischial tuberosity.

What is an avulsion fracture?

An avulsion fracture occurs when a small chunk of bone attached to a tendon or ligament gets pulled away from the main part of the bone. The hip, elbow and ankle are the most common locations for avulsion fractures in the young athlete.

What does avulsion mean in medical terms?

Medical Definition of avulsion : a tearing away of a body part accidentally or surgically avulsion of the fingernail. avulsion. noun.

What is an Apophyseal injury?

Answer: Apophyseal injuries are stresses to the growth plate in adolescent athletes. They can range from just a stress reaction with inflammation in the area and soreness to a complete fracture.

What is a common Apophyseal injury?

Common apophyseal injuries, and their sites, include Sever’s disease (posterior calcaneus), Osgood-Schlatter disease (tibial tuberosity), Sindig-Larsen-Johansson syndrome (inferior patella), medial epicondylitis (humeral medial epicondyle) and apophysitis of the hip (iliac crest, ischial tuberosity).

How is avulsion treated?

Treatment of an avulsion fracture typically includes resting and icing the affected area, followed by controlled exercises that help restore range of motion, improve muscle strength and promote bone healing. Most avulsion fractures heal very well without surgical intervention.

Is avulsion fracture serious?

An avulsion fracture is a serious injury that can stop you from playing your favorite sports. You’ll need a cast and rest, and possibly surgery. You should follow up with your healthcare providers for help.

How serious is an avulsion fracture?

How painful is an avulsion fracture?

You may feel a pop and sudden pain when the fracture occurs. You will probably have some pain and swelling in the area of the fracture. Sometimes the area will be bruised. Symptoms usually improve after the injury heals.

Is there an apophyseal avulsion from the right ischial tuberosity?

There is apophyseal avulsion from the right ischial tuberosity. A large semilunar fragment of cartilage measuring 4cm in size has been detached from the body of the ischial tuberosity. The apophyseal fragment is distracted by 1.4cm and there is a fluid field cavity within the spaces.

What are the complications of apophysitis of the ischial tuberosity?

Apophysitis of the ischial tuberosity usually healed well without complications. Avulsions often caused more prolonged pain with referral pain to the posterior parts of the thigh which often required operative interventions. A small bony or periosteal avulsion sometimes grew to a pseudotumor calcification.

What are the surgical approaches for acute ischial tuberosity (AFIT)?

However, when this surgical approach is taken, the ischial tuberosity is located at the deepest part of the incision, which is not conducive to the reduction and fixation of the fracture. Therefore, as mentioned earlier, the subgluteal surgical approach advocated by Saka et al. [39] can also be a good choice for the advanced surgery for AFIT.

What is the mechanism of injury in apophyseal avulsions?

The mechanism of injury in apophyseal avulsions is sudden forceful concentric or eccentric muscle contraction during running, jumping or kicking a ball, which results in traction on the unfused apophysis.