Apophyseal avulsion fractures of the pelvis and hip
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Pelvic
fractures • Pelvic apophyseal avulsion fractures (annotated image) - Ganzer Fall bei Radiopaedia
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Pelvic
fractures • Iliac crest avulsion - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Anterior superior iliac spine avulsion - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Anterior inferior iliac spine avulsion fracture - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Anterior inferior iliac spine avulsion - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Lesser trochanteric avulsion fracture - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Ischial tuberosity avulsion - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Ischial tuberosity avulsion injury - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Avulsion fracture of the lesser trochanter - Ganzer Fall bei Radiopaedia
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Apophyseal
avulsion fractures of the pelvis and hip • Avulsion fracture of the lesser trochanter - Ganzer Fall bei Radiopaedia
Apophyseal avulsion fractures of the pelvis and hip are relatively common among physically active adolescents and young adults.
Epidemiology
Pelvic and hip apophyseal injuries typically occur in the 14 to 25 year age range.
Mechanism
Kicking sports, such as soccer, and gymnastics are frequently implicated.
Pathology
Sudden forceful muscular contraction causes avulsion of the apophysis to which the tendon attaches.
Sites of avulsion
- iliac crest: anterior abdominal wall muscles
- anterior superior iliac spine: tensor fascia lata and sartorius
- anterior inferior iliac spine: straight head of rectus femoris
- greater trochanter: gluteus medius and gluteus minimus
- lesser trochanter: iliopsoas muscle
- ischial tuberosity: hamstring muscles
- body and inferior ramus of pubis: thigh adductors and gracilis
See also
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