Chronic Ischial Tuberosity Avulsion Fracture with Nerve Entrapment in a Competitive Athlete

Case: Neglected ischial tuberosity avulsion fractures are rare injuries that can have implications for long-term function and athletic performance. We report a 37-year-old male soccer player with left chronic hamstring tear, ischial avulsion fracture, and sciatica who underwent surgical repair after sustaining the injury 2 decades ago. At 1 year, the patient was pain free, had restored function, and is running. Conclusion: Rare neglected ischial tuberosity avulsions that develop long-term sequelae related to nerve damage, weakness, and nonunion can be successfully treated with a simultaneous open surgical repair of the hamstring, removal of the avulsion fracture, and sciatic neurolysis.