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

IF 1.6 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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单侧外伤性撕脱性骨折的病例回顾。
简介和重要性:髂前上棘(ASIS)和髂前下棘(AIIS)同时发生撕脱骨折是罕见的,通常是由运动员强烈的肌肉收缩引起的。准确的诊断需要彻底的检查和影像学检查。病例介绍:一名29岁男性,因道路交通事故导致右侧ASIS和AIIS撕脱性骨折。通过x线平片和3D CT扫描确诊。患者接受空心松质螺钉手术固定。他在5个月内完全康复并恢复了损伤前的体育活动。临床讨论:ASIS和AIIS撕脱骨折并不常见,同时发生更是罕见。正确的诊断和手术干预是至关重要的,特别是对活动期明显移位的患者。结论:使用空心松质螺钉进行手术治疗使患者完全恢复并恢复运动活动,突出了该方法治疗复杂撕脱骨折的有效性。
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Annals of Medicine and Surgery
Annals of Medicine and Surgery MEDICINE, GENERAL & INTERNAL-
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5.90%
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