Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

Kazuistika / Case report

ACTA CHIRURGIAE ORTHOPAEDICAE ET TRAUMATOLOGIAE ČECHOSL.,
85, 2018, p. 441 - 446

Spontánní konsolidace ponámahové bilaterální apofyzeolýzy trochanter minor femoris u mladého hokejisty - dlouhodobé sledování magnetickou rezonancí

Spontaneous Consolidation of Exercise-Induced Bilateral Apophyseolysis of Lesser Trochanter in a Young Ice Hockey Player - Long-Term Follow-up by MRI

B. PAUČEK1,2, D. SMÉKAL2, R. HORÁK3
1 Magnetické rezonance, Medihope DC Olomouc
2 Katedra fyzioterapie, Fakulta tělesné kultury Univerzity Palackého v Olomouci
3 DJK fyzio s.r.o., Ostrava

SUMMARY

Exercise-induced bilateral apophyseolysis of lesser trochanter with enthesopathy of iliopsoas muscle is a less frequent cause of the groin pain syndrome in children and adolescents. In a 13-year-old boy, an active ice hockey player, spontaneous consolidation of exercise-induced bilateral apophyseolysis of lesser trochanter and regression of enthesopathy of iliopsoas muscle is documented by a long-term follow-up through MRI. The conservative treatment comprises targeted rehabilitation focusing on the hypertonie muscles, but of equal importance is also comprehensive rehabilitation focusing on correction of the posture and coordination of the muscle groups. It is also necessary to include compensatory exercise in the training plan.

Key words: groin pain syndrome, children, apophyseolysis of lesser trochanter, enthesopathy of iliopsoas muscle

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