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Definition of Two Types of Anterior Superior Iliac Spine Avulsion Fractures

White, Klane K. M.D.*; Williams, Seth K. M.D.*; Mubarak, Scott J. M.D.†

Trauma

Fractures of the anterior superior iliac spine (ASIS) in adolescents are usually due to avulsion of the sartorius origin from the ASIS; however, the authors here report a second type due to avulsion of the tensor fascia lata origin. Eight patients were identified with ASIS avulsion fractures. Type II sartorius avulsion fracture was due to sprinting in various sports (n = 6). The fragment was smaller and displaced anteriorly. Type II tensor fascia lata avulsion fractures were due to swinging a baseball bat. The two muscular males were both injured during the initial phase of batting. The bony fragment was much larger and displaced laterally as confirmed by three-dimensional computed tomography scans.

Study conducted at Children's Hospital and Health Center, San Diego, California, U.S.A.

From the *University of California–San Diego Medical Center and †Children's Hospital and Health Center, San Diego, California, U.S.A.

Address correspondence and reprint requests to Scott J. Mubarak, M.D., Department of Orthopedics, Children's Hospital and Health Center, San Diego, 3030 Children's Way, Suite 410, San Diego, CA 92123–4293, U.S.A. (e-mail: Pedsortho@chsd.org).

None of the authors received financial support for this study.

© 2002 Lippincott Williams & Wilkins, Inc.