Iliac crest apophyseal avulsion fracture

Case contributed by Mostafa Elfeky
Diagnosis almost certain


Left hip and groin pain since 1 month worse one day before after wrong motion while playing.

Patient Data

Age: 17 years
Gender: Male

Displacement of the lateral quarter of left iliac crest apophysis, in keeping with avulsion injury.

Case Discussion

Iliac crest apophyseal avulsion fracture is due to forceful contraction of anterior abdominal wall muscles. It is a rare fracture that occurs in adolescents, and usually the underlying abnormality in a hip-pointer injury in this age. It is generally the least common of pelvic avulsion fractures. Most patients respond to conservative treatment.

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