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Paediatrics
intermediate
X-Type

Pelvic Avulsion Fractures

Pediatric Sports Injuries

A 15-year-old male soccer player presents with sudden onset of left groin pain while kicking a ball during a match. He felt a pop and had immediate difficulty walking. Examination reveals tenderness over the anterior superior iliac spine (ASIS) with pain on resisted hip flexion and knee extension. Radiograph confirms an avulsion fracture of the ASIS with 1.5cm displacement. Regarding pelvic avulsion fractures in adolescents:

Mark each as TRUE or FALSE

A

Pelvic apophyseal avulsion fractures occur in adolescents during the growth spurt when apophyses are...

B

The ischial tuberosity avulsion (hamstring origin) is the most common pelvic avulsion overall; mecha...

C

Pelvic avulsion fractures are most common in elderly osteoporotic patients; the pubic symphysis is t...

D

Most pelvic avulsion fractures are treated conservatively with rest, protected weight-bearing, and p...

E

Apophyseal fusion occurs at different ages: AIIS fuses earliest (16-18 years), ASIS fuses at 16-18 y...

Answer the questions to see explanations

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