Best Practice Case Studies-Case 149 Asset 2 Pelvic Avulsion Fractures

Case 149 Asset 2 Pelvic Avulsion Fractures

Video Transcription

Video Summary

The video reviews a 14-year-old boy with right hip pain after a tubing injury. Pelvic X-ray and MRI showed an avulsion fracture of the right ischial tuberosity apophysis with hamstring origin traction and surrounding edema. It then explains pelvic apophyseal avulsion fractures in skeletally immature patients, including common sites and expected fragment displacement based on muscle pull. Examples include iliac crest, ASIS, AIIS, greater trochanter, and pubic rami avulsions. A special case is lesser trochanter avulsion in older patients, which may indicate pathologic fracture from metastasis.

Meta Tag

Edition 4th Edition

Related Case 4th Edition, Case 149

Topic Pelvis

Keywords

4th Edition

4th Edition, Case 149

Pelvis

ischial tuberosity avulsion fracture

pelvic apophyseal avulsion

hamstring origin injury

skeletally immature patient

lesser trochanter metastasis