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open reduction and internal fixation of the fragment along with the rectus femoris.
2%
24/989
open reduction and internal fixation of the fragment along with the sartorius.
20%
200/989
open reduction and internal fixation of the fragment along with the iliopsoas.
21/989
rest and protected weight bearing with crutches.
74%
734/989
excision of the fragment.
0%
3/989
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Anterior superior iliac spine avulsion fractures are caused by sudden, forceful contractions of the sartorius and tensor fascia lata. These injuries occur in young athletes through the growth plate with the hip extended and the knee flexed, such as while sprinting or swinging a baseball bat. The athlete will often report a pop or snap at the time of injury. Displaced fractures usually can be seen on radiographs. CT or MRI can be obtained to confirm the diagnosis. In most patients, nonsurgical management consisting of rest and protected weight bearing yields satisfactory outcomes. Surgery is usually reserved for fractures with displacement of more than 3 cm and painful nonunions.
2.7
(11)
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