Single right sided traumatic avulsion fracture of both ASIS and AIIS: case review.

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL Annals of Medicine and Surgery Pub Date : 2025-02-11 eCollection Date: 2025-02-01 DOI:10.1097/MS9.0000000000002958

Sanjeeb Rijal, Bir Bahadur Syangtan, Manish Gupta, Mala Khatri, Md Obada Ansari

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Abstract

Introduction and importance: Simultaneous avulsion fractures of the anterior superior iliac spine (ASIS) and anterior inferior iliac spine (AIIS) are rare, typically resulting from intense muscular contractions in athletes. Accurate diagnosis requires thorough examination and imaging.

Case presentation: A 29-year-old male sustained right-sided ASIS and AIIS avulsion fractures from a road traffic accident. Diagnosis was confirmed via plain radiographs and 3D CT scans. The patient underwent surgical fixation with cannulated cancellous screws. He fully recovered and resumed pre-injury sports activity within 5 months.

Clinical discussion: ASIS and AIIS avulsion fractures are uncommon, with simultaneous occurrences being even rarer. Proper diagnosis and surgical intervention are crucial, especially in active patients with significant displacement.

Conclusion: Surgical treatment using cannulated cancellous screws led to complete recovery and return to sports activity in this case, highlighting the effectiveness of this approach for managing complex avulsion fractures.

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