In brief Avulsion fractures at the seven Pelvis and hip apophyses may occur more often than reported. Because radiographs are often not obtained, these injuries may commonly be dismissed as sprains and strains. With rare exceptions, avulsion fractures can be treated conservatively- much, in fact, like a sprain or strain. However, because a 'fracture' is involved, an accurate diagnosis generally helps ensure compliance, avoiding the possibility of nonunion or malunion.
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Jan A. Combs (1994) studied this question.
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