Presentation
Sudden left hip and pelvic pain onset during an athletic event (sprinting ). Request for plain films of the hips.
Patient Data
Apophyseal avulsion fracture of the left iliac crest is present.
The bony pelvis and especially the hips are otherwise intact and normal
A zoomed and panned image confirms the left iliac crest apophyseal avulsion fracture injury.
Case Discussion
The patient was referred for a dedicated hip X-ray series including frog leg and Dunn views. The iliac crest apophyseal avulsion fracture cannot be diagnosed without a pelvic view! This can also be easily missed when the views are collimated during exposure or cropped during post-processing while concentrating on the hip request.
Apophyseal avulsion fractures of the pelvis and hip are relatively common among physically active adolescents and young adults.
Unable to process the form. Check for errors and try again.