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Paediatrics
intermediate
X-Type

Apophyseal Avulsion Fractures

Pediatric Sports Injuries

A 14-year-old sprinter presents with sudden onset right groin pain after accelerating during a race. He felt a "pop" and was unable to continue. Examination reveals tenderness over the anterior superior iliac spine with pain on resisted hip flexion and knee extension. Radiograph shows a displaced fragment at the ASIS. Regarding apophyseal avulsion fractures in adolescents:

Mark each as TRUE or FALSE

A

Apophyseal avulsion fractures occur in adolescents because the apophysis (secondary ossification cen...

B

Clinical presentation includes sudden onset pain during athletic activity, often with a "pop" sensat...

C

Apophyseal avulsions occur in adults because the adult apophysis is weaker; they happen during low-e...

D

Treatment is primarily conservative for most avulsions with less than 2cm displacement: rest, ice, p...

E

Complications include nonunion, exuberant callus formation (which may cause impingement or sciatic n...

Answer the questions to see explanations

Click T (True) or F (False) for each option