Avulsion fractures of the pelvis in the pediatric population. A review of the literature and case report

Abstract

Avulsion fractures of the pelvis usually occur in young athletes and are the most common type of avulsion fractures in the pediatric population. The most frequent fractures of this group are fractures of the anterior superior and anterior inferior iliac spine and fractures of the ischial tuberosity. The diagnosis of this type of fracture requires awareness, because their symptoms may suggest muscular injuries. There have not been found clear-cut guidelines for the treatment of pelvic avulsion fractures in the currently available literature. Most of these fractures can be successfully treated conservatively. Operative treatment should be consid-ered first in professional athletes, and significant displacements fragments of the fracture, amount to more than 1-3 cm depending on the source. Patients who undergo surgical treatment have a faster recovery, however, surgery is associated with several possible complications, including this contingent on implant presence. There are several surgical treatment techniques, all of which are described as giving good results with few complications.