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Avulsion of the less trochanter
Summary
A 13-year-old boy experienced lesser trochanter avulsion after minor trauma. Surgical fixation was successful, suggesting the injury may stem from a pre-existing disorder in the epiphysis.
Area of Science:
- Orthopedic surgery
- Pediatric traumatology
- Skeletal disorders
Background:
- Avulsion fractures of the lesser trochanter are rare in adolescents.
- Prodromal pain can precede significant skeletal injury.
- Adiposogenital appearance may be associated with certain endocrine or developmental conditions.
Observation:
- A 13-year-old male presented with a history of prodromal pain.
- The patient suffered an avulsion fracture of the lesser trochanter following minor trauma.
- The patient had a slightly adiposogenital body habitus.
Findings:
- Successful surgical reduction and fixation of the lesser trochanter avulsion fracture were performed.
- Discussion of the etiology points towards a potential underlying disorder of the epiphysis.
- Literature review supports the hypothesis of pre-existing epiphyseal compromise contributing to avulsion injuries.
Implications:
- This case highlights the importance of considering underlying skeletal pathology in adolescent avulsion fractures.
- Operative intervention can effectively manage lesser trochanter avulsions.
- Further research into the link between developmental factors and epiphyseal injuries is warranted.