Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete
A 14-year-old girl experienced acute left buttock pain during a sprint. At the local hospital, she was diagnosed with an avulsion fracture of the left ischial tuberosity. She was kept for observation for about 10 months; however, the buttock pain persisted, and the bone fragments did not unite. She...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8531648 |
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| author | Yuta Nakamatsu Tomoaki Fukui Keisuke Oe Shinya Hayashi Tomoyuki Matsumoto Takehiko Matsushita Ryosuke Kuroda Takahiro Niikura |
| author_facet | Yuta Nakamatsu Tomoaki Fukui Keisuke Oe Shinya Hayashi Tomoyuki Matsumoto Takehiko Matsushita Ryosuke Kuroda Takahiro Niikura |
| author_sort | Yuta Nakamatsu |
| collection | DOAJ |
| description | A 14-year-old girl experienced acute left buttock pain during a sprint. At the local hospital, she was diagnosed with an avulsion fracture of the left ischial tuberosity. She was kept for observation for about 10 months; however, the buttock pain persisted, and the bone fragments did not unite. She was referred to our hospital approximately 11 months after the injury. Plain radiography revealed an increased transposition of the bone fragment, from 12 mm immediately after the injury to 23 mm. Twelve months after the injury, she underwent osteosynthesis using two cannulated cancellous screws and three suture anchors. Following postoperative rehabilitation, the power in her left hamstring recovered, and she was able to run at full speed and returned to athletics 9 months after the surgery. The operative indications for avulsion fractures of the ischial tuberosity are unclear. Careful follow-up is required as the rate of nonunion after conservative treatment tends to be high. This needs to be identified in order to provide timely treatment that allows for early return to sport. Although she had significant chronic pain and muscle weakness, the surgery successfully treated the fracture, and her muscle power recovered, leading to her return to sports. |
| format | Article |
| id | doaj-art-3030ede4fdf347cc8b0ccc5d64470b7c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-3030ede4fdf347cc8b0ccc5d64470b7c2025-02-03T05:53:53ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/85316488531648Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old AthleteYuta Nakamatsu0Tomoaki Fukui1Keisuke Oe2Shinya Hayashi3Tomoyuki Matsumoto4Takehiko Matsushita5Ryosuke Kuroda6Takahiro Niikura7Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanDepartment of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan, 7-5-2 Kusunokicho Chuo-ku, Kobe, Hyogo 650-0017, JapanA 14-year-old girl experienced acute left buttock pain during a sprint. At the local hospital, she was diagnosed with an avulsion fracture of the left ischial tuberosity. She was kept for observation for about 10 months; however, the buttock pain persisted, and the bone fragments did not unite. She was referred to our hospital approximately 11 months after the injury. Plain radiography revealed an increased transposition of the bone fragment, from 12 mm immediately after the injury to 23 mm. Twelve months after the injury, she underwent osteosynthesis using two cannulated cancellous screws and three suture anchors. Following postoperative rehabilitation, the power in her left hamstring recovered, and she was able to run at full speed and returned to athletics 9 months after the surgery. The operative indications for avulsion fractures of the ischial tuberosity are unclear. Careful follow-up is required as the rate of nonunion after conservative treatment tends to be high. This needs to be identified in order to provide timely treatment that allows for early return to sport. Although she had significant chronic pain and muscle weakness, the surgery successfully treated the fracture, and her muscle power recovered, leading to her return to sports.http://dx.doi.org/10.1155/2020/8531648 |
| spellingShingle | Yuta Nakamatsu Tomoaki Fukui Keisuke Oe Shinya Hayashi Tomoyuki Matsumoto Takehiko Matsushita Ryosuke Kuroda Takahiro Niikura Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete Case Reports in Orthopedics |
| title | Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete |
| title_full | Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete |
| title_fullStr | Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete |
| title_full_unstemmed | Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete |
| title_short | Surgically Treated Nonunion following Ischial Tuberosity Avulsion Fracture of a 14-Year-Old Athlete |
| title_sort | surgically treated nonunion following ischial tuberosity avulsion fracture of a 14 year old athlete |
| url | http://dx.doi.org/10.1155/2020/8531648 |
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