Avulsion fracture of the iliac crest in a football player

Abstract

We describe an unusual injury of the iliac crest in an adolescent football player. The injury occurred as a result of a sudden twist of the trunk while kicking. Plain radiographs showed avulsion fracture of the anterior part of the iliac crest apophysis. Five months later the injury was partially ossificated but the patient felt minor pain and was not confident of returning to playing football.

Multiple osteochondroses and avulsion fracture of anterior superior iliac spine in a soccer player

“…Injuries of the ASIS, the anterior inferior iliac spine, and the ischial tuberosity have been described in children and adolescent footballers, caused by a sprint or sudden flexion of the hip during the kicking phase. [8][9][10] In our case, hyperextension of the hip and flexion of the knee resulted in the avulsion fracture of the ASIS with apophysitis during the kicking. This suggests that treatment of apophysitis should be undertaken more seriously than was thought to prevent serious situations such as avulsion fractures.…”

Iliac crest apophyseal insufficiency avulsion fractures

“…The literature only reports on traumatic causes of iliac crest apophyseal avulsions, mainly sporting injuries. [7][8][9][10][11] Schuett et al published the largest retrospective review of 225 patients with pelvic apophyseal avulsion fractures with a mean age of 14.4 years. 1 They found the anterior inferior iliac spine avulsions to be most prevalent (49%).…”

Acute Avulsion of the Iliac Crest Apophysis in an Adolescent Indoor Soccer

“…The sudden contraction of the left external oblique probably pulls the apophysis off the left iliac crest. The left internal oblique and the transverses abdominis also insert into the iliac crest and probably contribute to the injury [ 9 ]. After avulsion the apophysis was probably displaced laterally and inferiorly, as clearly demonstrated on the 3D views by the antagonist traction of the gluteus medius muscle but merely of the tensor fascia lata [ 8 ].…”