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Case Reports in Orthopedics
Volume 2015 (2015), Article ID 302503, 4 pages
http://dx.doi.org/10.1155/2015/302503
Case Report

Iliac Crest Avulsion Fracture in a Young Sprinter

1Department of Orthopaedic and Sport Surgery, Pitié Salpêtrière Hospital, Pierre and Marie Curie University, 47 Boulevard de l’Hôpital, 75013 Paris, France
2Department of Radiology, Pitié Salpêtrière Hospital, Pierre and Marie Curie University, 47 Boulevard de l’Hôpital, 75013 Paris, France

Received 2 July 2015; Revised 20 August 2015; Accepted 20 August 2015

Academic Editor: Johannes Mayr

Copyright © 2015 L. Casabianca et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Avulsion fracture of the iliac crest is an uncommon pathology. It usually occurs in teenagers during sport activities, more common in boys. We report a case of 16-year-old male competitive sprinter, who had an avulsion of a part of the iliac crest and the anterior-superior iliac spine during a competition. The traumatism occurred during the period of acceleration phase out of the blocks which corresponds to the maximum traction phase on the tendons. Then a total loss of function of the lower limb appears forcing him to stop the run. X-ray and CT scan confirmed the rare diagnosis of avulsion of the quasitotality of the iliac crest apophysis, corresponding to Salter 2 fracture. We performed an open reduction and internal fixation with two screws, allowing a return to sport after 3 months and his personal best record in the 100 meters at the 6th postoperative month.