Avulsion fracture of the anterior superior iliac spine: misdiagnosis of a bone tumour.

Avulsion fractures of the anterior superior iliac spine are rare. This injury is usually seen in adolescents, as an avulsion fracture of the apophyses, a result of sudden vigorous contraction or repetitive contraction of the sartorius and tensor fasciae latae muscles. Treatment for this injury is usually conservative; however, surgical management has been reported in those with significant displacement. We present a 14 year old male patient who was referred to our unit for biopsy of a possible pathological fracture of his right ilium. The authors feel it is essential to understand the importance of ruling out a bone tumour, if the possibility has been raised, before managing a suspected fracture. If there is any doubt, the case should be referred to an appropriate sarcoma unit for review prior to any intervention.

Citation

B S Dhinsa, Azal Jalgaonkar, Bhupinder Mann, Sajid Butt, Rob Pollock. Avulsion fracture of the anterior superior iliac spine: misdiagnosis of a bone tumour. Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology. 2011 Sep;12(3):173-6

Mesh Tags

PMID: 21837510

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