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Magnetic Resonance Imaging in the Evaluation of Avulsion Injuries of the Pelvis and Hip in Adolescent Professional Footballers: A Case Series.
Cirimele, Vincenzo; D'Amone, Giulia; Stellato, Luigi; Ferrini, Augusto; Gregori, Pietro; Faiella, Eliodoro.
Affiliation
  • Cirimele V; Department of Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy.
  • D'Amone G; Department of Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy.
  • Stellato L; Department of Radiology, Fondazione Policlinico Universitario Campus Bio-Medico di Roma, Roma, Italy.
  • Ferrini A; Department of Orthopaedic and Trauma Surgery Fondazione Policlinico Univeristario Campus Bio-Medico di Roma, Roma, Italy.
  • Gregori P; Department of Medicine and Surgery, Orthopaedic and Trauma Surgery Unit, Univeristà Campus Bio-Medico di Roma, Roma, Italy.
  • Faiella E; Department of Orthopaedic and Trauma Surgery Fondazione Policlinico Univeristario Campus Bio-Medico di Roma, Roma, Italy.
J Orthop Case Rep ; 14(5): 147-152, 2024 May.
Article in En | MEDLINE | ID: mdl-38784877
ABSTRACT

Introduction:

Pelvic apophyseal avulsion fractures are uncommon injuries that frequently affect adolescents while participating in sports. This occurs because the enthesis cannot withstand the tractional force applied because the apophysis has not yet fully fused. Due to its complex muscular structure, being the origin of several muscles that cross two lower extremity joints, the pelvis has an increased risk for such injuries. The diagnosis of pelvic avulsion injuries depends heavily on imaging. The best way to detect soft-tissue changes, including tendon or muscle strain, bone marrow edema, hematomas, and soft tissue avulsion injuries, is with an magnetic resonance imaging . It is also the best at showing tendon retraction and can help the clinician spot patients who might benefit from surgical treatment. Case Report We report six cases of adolescents professional footballers that suffered avulsion injuries while playing football. The patients had painfully restricted hip range of motion and were unable to bear weight. Some of them on physical examination felt pain at the palpation of the injured area. Magnetic resonance revealed apophysis growth plate avulsion with or without displaced bone fragments that were treated conservatively with an excellent clinical and radiological outcome.

Conclusion:

For an accurate diagnosis of pelvic avulsion injuries and clinical management, it is important that everyone caring for this patient population is aware of the common injury mechanisms, radiographic findings, and available treatments.
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Orthop Case Rep Year: 2024 Document type: Article Affiliation country: Italy

Full text: 1 Collection: 01-internacional Database: MEDLINE Language: En Journal: J Orthop Case Rep Year: 2024 Document type: Article Affiliation country: Italy