UNC Pediatric Physical Therapy Residency Program (Dr Lasky-McFarlin) and Rehabilitation Therapies (Dr Thomas and Ms Newman), UNC Health Care, Chapel Hill, North Carolina; Division of Physical Therapy (Dr Thorpe), School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
Pediatr Phys Ther. 2021 Jan 1;33(1):E15-E22. doi: 10.1097/PEP.0000000000000773.
To describe evaluation and physical therapy treatment for an athlete who is male and 13 years old with healing bilateral rectus femoris avulsion fractures.
Fractures of the anterior inferior iliac spine may be linked to poor abdominal stability in soccer athletes who are male and an adolescent. The development and use of an abdominal stability screening tool could be an efficient and effective way to determine fracture risk and guide prevention programs.
Following 8 weeks of conservative physical therapy treatment, the athlete met all goals and returned to pain-free soccer activities without residual impairments. Four months following discharge, he reported full participation in soccer competition without complications. This case illustrates that abdominal weakness is a potential risk factor for anterior inferior iliac spine avulsion fracture. Screening for abdominal weakness and incorporating preventative programs into training regimens is recommended to prevent anterior inferior iliac spine injuries in this population.
描述一名男性 13 岁运动员双侧股直肌撕脱性骨折的评估和物理治疗方法。
前下髂棘骨折可能与男性青少年足球运动员腹部稳定性差有关。开发和使用腹部稳定性筛查工具可能是确定骨折风险和指导预防计划的有效方法。
经过 8 周的保守物理治疗，该运动员达到了所有目标，并且在没有残留损伤的情况下无痛重返足球活动。出院后 4 个月，他报告说完全参加了足球比赛，没有并发症。该病例表明，腹部无力是前下髂棘撕脱性骨折的潜在危险因素。建议对该人群进行腹部无力筛查，并将预防计划纳入训练方案，以预防前下髂棘损伤。
