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Surgical Treatment of an Avulsion Fracture of the Iliac Crest. Case Report Hajime Utsunomiya 1 , Yoshihisa Okamura 2 1Department of Orthopaedic Surgery,University of Occupational and Environmental Health 2Department of Orthopaedic Surgery,Aomori Prefectural Asunaro Medical and Health Care Center Keyword: 腸骨稜裂離骨折(avulsion fracture of the iliac crest) , 手術的治療(surgical treatment) , 骨端線損傷(physeal injury) pp.87-91
Published Date 2010/1/25
DOI https://doi.org/10.11477/mf.1408101667
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 We report a rare case of avulsion fracture of the iliac crest that was treated surgically. A 15-year-old male judo wrestler was injured during a match. CT and 3D-CT showed that the avulsed bone fragment was displaced posterolaterally and not continuous with the iliac bone. Osteosynthesis of the iliac crest was performed with three absorbable cancellous screws. The patient was allowed to walk 3 days after the operation and to resume judo practice 3 months later. He is now performing judo pain-free,and diagnostic imaging has shown bone fusion. The abdominal muscles have been thought to cause indicated avulsion fractures of iliac crest,but our intraoperative findings that strong traction on the tensor muscle of fascia lata and mesogluteus resulted in the avulsion in our patient. Because the avulsed fragment was not continuous with the iliac bone and spontaneous bone fusion was considered unlikely,we opted to treat the fracture surgically. As a result,3 months later the patient was able to resume competitive judo,including powerful contact elements,pain-free.


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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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