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Apophysitis of the Ischial Tuberosity: A Case Report
S Papastergiou1, D Grammatikopoulou1, E Iosifidou2
1Department of Orthopaedic, General Hospital of Thessaloniki "Agios Pavlos," Thessaloniki, Greece.
Journal of Orthopaedic Case Reports
|June 18, 2020
Summary
Apophysitis of the ischial tuberosity, a common sports injury in young athletes, often presents with delayed diagnosis. Prompt, non-surgical treatment leads to satisfactory outcomes for this hamstring-related condition.
Area of Science:
- Orthopedics
- Sports Medicine
- Pediatric Sports Injuries
Background:
- Apophysitis of the ischial tuberosity (Valtancoli or Kremser's disease) is a recognized pathology in pediatric athletes.
- It results from repetitive microtrauma or trauma to the ischial tuberosity, often linked to hamstring muscle contractions during activities involving sudden acceleration and deceleration.
- This condition can cause significant pain and functional limitations in young athletes.
Observation:
- A case study details a male athlete experiencing buttock pain and gait disturbance following a thigh trauma.
- Radiographic findings near the left ischial tuberosity prompted a comprehensive diagnostic workup, including CT, MRI, bone scintigraphy, and blood tests.
Findings:
- The diagnostic process confirmed apophysitis of the ischial tuberosity.
- The patient received a non-surgical treatment plan that yielded positive results.
Implications:
- Delayed diagnosis is common for ischial tuberosity apophysitis.
- Appropriate non-surgical management offers a favorable prognosis for athletes with this condition.
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