Yildiz C, Yildiz Y, Ozdemir M T, Green D, Aydin T
Gulhane Military Medical Academy, Department of Orthopaedics and Traumatology, Etlik, Ankara 06018, Turkey.
Br J Sports Med. 2005 Jul;39(7):e31. doi: 10.1136/bjsm.2004.015289.
We present here an unusual case of a sequential avulsion fracture of the anterior inferior iliac spine (AIIS), occurring first in the right and then the left AIIS, during long jump attempts. The case of a 17 year old boy with pain around his right groin, which first occurred during a long jump attempt, is presented. Radiographic examination revealed an avulsion fracture of the right AIIS. After conservative treatment, full athletic activity was allowed 2 months after the injury. However, 4 months later the patient returned with a similar pain in the opposite side of his groin. Radiographs revealed another fracture of the left AIIS. The boy underwent the same treatment protocol; he was examined with isokinetic dynamometry. No complication or re-injury occurred during the 2 year follow up period. In the present study, we introduce the first case of a sequential bilateral AIIS avulsion fracture caused by a long jump.
我们在此呈现一例不寻常的病例,一名17岁男孩在跳远尝试过程中,先后出现右、左侧髂前下棘(AIIS)的撕脱骨折。该男孩首次在跳远尝试时出现右腹股沟周围疼痛,影像学检查显示右侧AIIS撕脱骨折。保守治疗后,伤后2个月允许其进行全面体育活动。然而,4个月后患者因对侧腹股沟类似疼痛再次就诊,X线片显示左侧AIIS又发生骨折。该男孩接受了相同的治疗方案,并进行了等速测力检查。在2年的随访期内未发生并发症或再次受伤情况。在本研究中,我们介绍了首例因跳远导致的双侧AIIS先后撕脱骨折病例。