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Review Question - QID 836

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QID 836 (Type "836" in App Search)
A 15-year-old boy sustains the injury seen in Figure A while running the hurdles. The same mechanism in an adult athlete would most likely result in which of the following injuries?
  • A

Hamstring myotendinous junction rupture

62%

1592/2563

Pelvic ramus fracture

1%

35/2563

Hamstring muscle belly rupture

3%

89/2563

Hamstring tendinous insertion rupture

32%

818/2563

Sports hernia

1%

24/2563

  • A

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This adolescent has sustained injury an avulsion injury of the ischial tuberosity. This is also referred to as a “hurdlers fracture” which occurs during excessive hamstring tension. This injury in a skeletally mature adult would most likely be a hamstring rupture. Hamstring ruptures in adults most often occur at the myotendinous junction but can occur at other areas including the muscle belly and tendinous insertion. Nonoperative management, starting with protected weightbearing for 4 weeks followed by physical therapy. Surgical management may be considered if the fragment is large enough to accommodate hardware and if displacement is greater than 2 cm.

The review articles by Scopp and Anderson discuss a variety of injuries to the hip and groin that occur in athletes.

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