Key result
Open reduction and internal fixation of an avulsion-fracture of the anterior superior iliac spine resolved meralgia paresthetica and allowed return to sports at 6 weeks in a 16-year-old male.
Case Report (n=1)
Open reduction and internal fixation with fragment removal successfully treated meralgia paresthetica secondary to an anterior superior iliac spine avulsion fracture in a young athlete.
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May support ORIF in select adolescent athletes with meralgia paresthetica from ASIS avulsion; leaves open need for controlled studies.
We present a rare case of avulsion-fracture of the anterior superior iliac spine with meralgia paresthetica in a 16-year-old male basketball player. He had sensory disturbance affecting his left lateral thigh 10 days after the injury. Tinel's sign was elicited on percussing the avulsed bony fragment of the anterior superior iliac spine. He underwent open reduction and internal fixation. The lateral femoral cutaneous nerve was noted to be entrapped by one third of the avulsed bony fragment. That fragment was removed, and the remaining portion was reduced and fixed with 2 screws. At week 6, the patient had returned to basketball playing without pain. At week 8, sensory distribution in the left lateral thigh had returned to normal.
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Hayashi et al. (2011) conducted a case report in Avulsion-fracture of the anterior superior iliac spine with meralgia paresthetica (n=1). Open reduction and internal fixation was evaluated on Return to sports and resolution of sensory disturbance. Open reduction and internal fixation of an avulsion-fracture of the anterior superior iliac spine resolved meralgia paresthetica and allowed return to sports at 6 weeks in a 16-year-old male.
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