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Anterior inferior iliac spine avulsion

Case contributed by Jeremy Jones
Diagnosis almost certain

Presentation

Injury while kicking a football. Felt a pop in the groin.

Patient Data

Age: 14 years
Gender: Male

Avulsion of the anterior inferior iliac spine is clearly demonstrated on the oblique view of the left hip.

Case Discussion

In pediatric patients, injury at a growth-plate or equivalent is much more common than a complete fracture. In the pelvis, this usually occurs at the insertion of muscular attachments.  Avulsion of the anterior inferior iliac spine is not uncommon and often occurs after attempted to kick a ball and missing it. The description of a "pop" in the groin is also not uncommon.

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