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Iliac Crest Avulsion Fracture in a Young Sprinter
L Casabianca1, R Rousseau1, P Loriaut1
1Department of Orthopaedic and Sport Surgery, Pitié Salpêtrière Hospital, Pierre and Marie Curie University, 47 Boulevard de l'Hôpital, 75013 Paris, France.
Abstract:
Avulsion fracture of the iliac crest is an uncommon pathology. It usually occurs in teenagers during sport activities, more common in boys. We report a case of 16-year-old male competitive sprinter, who had an avulsion of a part of the iliac crest and the anterior-superior iliac spine during a competition. The traumatism occurred during the period of acceleration phase out of the blocks which corresponds to the maximum traction phase on the tendons. Then a total loss of function of the lower limb appears forcing him to stop the run. X-ray and CT scan confirmed the rare diagnosis of avulsion of the quasitotality of the iliac crest apophysis, corresponding to Salter 2 fracture. We performed an open reduction and internal fixation with two screws, allowing a return to sport after 3 months and his personal best record in the 100 meters at the 6th postoperative month.
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