Key result
Conservative management of a 1.5 cm displaced apophyseal avulsion fracture of the ischial tuberosity in a 13-year-old boy resulted in a successful clinical outcome and return to daily life at 5 months.
Case Report (n=1)
Conservative management can yield successful clinical outcomes in pediatric patients with rare avulsion fractures of the ischial tuberosity.
May support conservative care in select pediatric ischial avulsions; leaves open optimal displacement thresholds and need for comparative trials.
The incidence of avulsion fracture of ischial tuberosity is reported to present in 1.4%−4% of hamstring injuries. The injury mechanism is known to be caused by a sudden forceful hip flexion in the extended knee with eccentric load to the hamstrings. Although the majority of hamstring injuries are strains of the muscle, avulsion fracture of ischial tuberosity occurs rarely. In this report, a 13-year-old boy with avulsion fracture of ischial tuberosity is presented. Successful clinical outcome was achieved with careful conservative management. Previous literatures including operative indications are reviewed.
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Moon et al. (2017) conducted a case report in Apophyseal avulsion fracture of ischial tuberosity (n=1). Conservative management was evaluated on Clinical outcome and fracture healing. Conservative management of a 1.5 cm displaced apophyseal avulsion fracture of the ischial tuberosity in a 13-year-old boy resulted in a successful clinical outcome and return to daily life at 5 months.
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