Acta chirurgiae orthopaedicae
et traumatologiae Čechoslovaca

Acta Chir Orthop Traumatol Cech. 2014; 81(4):292-294 | DOI: 10.55095/achot2014/040

Surgical Treatment of Ischial Apophysis Avulsion. Case ReportOriginal papers

M. Frank^1,2,*, T. Dědek^1,2

¹ Chirurgická klinika Fakultní nemocnice Hradec Králové

² Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové

The optimal management of ischial apophysis avulsion, especially indications for surgery, is not well defined. The authors present the case of a 16-year-old man who sustained an avulsion fracture of the ischial apophysis during his athlete training programme. The avulsion was diagnosed by X-ray. Because of displacement, surgery was indicated and open reduction with osteosynthesis was performed using a subgluteal approach on the eighth day after injury. Full weight bearing was allowed at nine weeks after injury, after the post-operative rehabilitation programme had been completed. Return to his sports activity was allowed at four months after injury. At one post-operative year the patient was free of any symptoms.
The proper surgical treatment of a displaced ischial apophysis avulsion and subsequent rehabilitation allow for early full weight bearing, including sports activities. The subgluteal approach provides good access to the ischial tuberosity with a minimal risk of complications and a good cosmetic outcome.

Keywords: apophysis, ischial tuberosity, avulsion

Published: August 1, 2014  Show citation