Avulsion fractures are usually diagnosed easily in acutely presented cases. The diagnosis becomes definite if clinical and radiological follow up reflect the fracture's healing phase. A 13-year-old soccer player with bilateral anterior inferior iliac spine (AIIS) avulsion, who had been examined in other institutions with a prediagnosis of malignancy, is reported. Clinically, such cases display the importance of medical management of athletic injuries by specially trained physicians. From the perspective of preventive medicine, the high incidence of AIIS injuries during soccer games, and the bilateral nature of the damage mandate a review of the training programs and shooting techniques for adolescent players.
Key Points
* Apophyseal fractures are caused by sudden and acute contraction of the muscles that are inserted into the growth cartilages. Subsequently, they occur in adolescents whose skeletons are not fully mature.
* The diagnosis is easy in cases that present right after the injury.
* When they present at a later time, accompanying reactive changes may clinically and radiographically imitate a malignant pathology.