Greater trochanter apophysitis in the adolescent athlete
1Department of Orthopaedic Surgery, Stanford University, Redwood City, California.
Summary
Traction apophysitis of the greater trochanter is a rare condition in young athletes, first reported here in a basketball player. Treatment involves rest and activity modification for a full return to sports.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Injuries
Background:
- Traction apophysitis commonly affects the lower limbs in young athletes, such as Osgood-Schlatter and Sinding-Larsen-Johansson diseases.
- While iliac apophysitis is known, greater trochanter apophysitis has not been previously documented.
Observation:
- A 15-year-old male basketball player presented with a two-month history of right hip pain and functional limitations.
- Radiographic examination showed widening of the greater trochanter apophysis with subchondral sclerosis, indicative of traction apophysitis.
Findings:
- This case represents the first reported instance of traction apophysitis affecting the greater trochanter.
- The unique biomechanics and balanced muscular forces around the greater trochanter apophysis likely contribute to its rarity.
Implications:
- Early diagnosis and conservative management, including rest and anti-inflammatory medication, are crucial for athletes with this condition.
- Successful treatment allows for a gradual return to full athletic participation without recurrence.
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