Boyce Stephen H, Quigley Michael A
Wishaw General Hospital, A&E, 50 Netherton Street, Wishaw ML9 2AU, UK.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.05.2009.1827. Epub 2009 Jun 24.
A 16-year-old boy presented to the emergency department with sudden onset of bilateral hip pain while performing in a 100 m sprint race. Examination revealed diffuse swelling and tenderness at both anterior superior iliac spines (ASIS). Pelvic x ray revealed bilateral displaced avulsion fractures of the ASIS at the origin of the sartorius muscle. He was managed conservatively with analgesia and bed rest with both hips held partially flexed at approximately 60°. Further x rays showed good healing and no further displacement of the avulsed fragments. Following physiotherapy he had a full range of hip movements at 6 weeks post-injury. He was able to return to full activity by 18 weeks post-injury.
一名16岁男孩在参加100米短跑比赛时突然出现双侧髋部疼痛，随后被送往急诊科。检查发现双侧髂前上棘（ASIS）弥漫性肿胀和压痛。骨盆X线显示双侧ASIS在缝匠肌起点处发生移位性撕脱骨折。他接受了保守治疗，包括镇痛和卧床休息，双髋保持约60°的部分屈曲。进一步的X线显示骨折愈合良好，撕脱碎片无进一步移位。经过物理治疗，他在受伤后6周时髋关节活动范围恢复正常。受伤后18周时，他能够恢复全部活动。
