Non-traumatic Pelvic Avulsion Fracture: Case Report
Bahattin Işık
Department of Emergency, Keçiören Training and Research Hospital, Ankara, Turkey.
Muhittin Serkan Yilmaz
Department of Emergency, Ankara Training and Research Hospital, Ankara, Turkey.
Miray Baba
Department of Emergency, Ankara Training and Research Hospital, Ankara, Turkey.
Murat Ongar
Department of Emergency, Ankara Training and Research Hospital, Ankara, Turkey.
Cemil Kavalci *
Department of Emergency, Başkent University Faculty of Medicine Ankara Hospital, Ankara, Turkey.
Gulsum Kavalci
Department of Anesthesia, Yenimahalle State Hospital, Ankara, Turkey.
*Author to whom correspondence should be addressed.
Abstract
Avulsion fractures of the anterior superior iliac spine are rare with a incidence 1.4% of pelvis injuries. This injury met commonly in adolescents, as an avulsion fracture of the apophyses, a result of suddenly and forcefully contraction or repetitive contraction of the sartorius and tensor fasciae latae muscles. Patients feel a severe pain localized in the anterior superior iliac spine on palpation and gait can be affected by pain. A high index of suspicion is necessary for emergency physicians to diagnose this rare injury. Treatment is mostly conservative although surgical treatment is required occasionally. We present a 46 years old man admitted to emergency department with a sudden pain on the right of pelvis after stumbling on the road. Avulsion fracture of anterior superior iliac spine detected by means of pelvis x-ray and computed tomography. Surgical intervention was preferred for this non-traumatic fracture due to bone displacement degree and milimetric exocytosis. Our case was unique according to patient’s age, trauma mechanism and treatment requirement as surgery.
Keywords: Avulsion fracture, anterior superior iliac spine, emergency room, stumbling