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Sean Odonnell - One of the best experts on this subject based on the ideXlab platform.

  • Avulsion Fracture of the anterior superior iliac spine presenting as acute onset meralgia paresthetica
    Annals of Emergency Medicine, 1995
    Co-Authors: Mohan Thanikachalam, James G Petros, Sean Odonnell
    Abstract:

    Abstract Avulsion Fracture of the anterior superior iliac spine is rare. Most cases occur in adolescents involved in competitive sports or vigorous exercise in which the sartorius and tensor fascia lata muscles are contracted strongly and suddenly against a hyperextended trunk. Patients who sustain this injury usually experience acute pain in the anterior pelvic region. We describe a patient with Avulsion of the anterior superior iliac spine who presented with meralgia paresthetica. The symptoms resolved with conservative treatment. [Thanikachalam M, Petros JG, O'Donnell S: Avulsion Fracture of the anterior superior iliac spine presenting as acute-onset meralgia paresthetica. Ann Emerg Med October 1995;26:515-517.]

  • Avulsion Fracture of the anterior superior iliac spine presenting as acute onset meralgia paresthetica
    Annals of Emergency Medicine, 1995
    Co-Authors: Mohan Thanikachalam, James G Petros, Sean Odonnell
    Abstract:

    Avulsion Fracture of the anterior superior iliac spine is rare. Most cases occur in adolescents involved in competitive sports or vigorous exercise in which the sartorius and tensor fascia lata muscles are contracted strongly and suddenly against a hyperextended trunk. Patients who sustain this injury usually experience acute pain in the anterior pelvic region. We describe a patient with Avulsion of the anterior superior iliac spine who presented with meralgia paresthetica. The symptoms resolved with conservative treatment.

Mohan Thanikachalam - One of the best experts on this subject based on the ideXlab platform.

  • Avulsion Fracture of the anterior superior iliac spine presenting as acute onset meralgia paresthetica
    Annals of Emergency Medicine, 1995
    Co-Authors: Mohan Thanikachalam, James G Petros, Sean Odonnell
    Abstract:

    Abstract Avulsion Fracture of the anterior superior iliac spine is rare. Most cases occur in adolescents involved in competitive sports or vigorous exercise in which the sartorius and tensor fascia lata muscles are contracted strongly and suddenly against a hyperextended trunk. Patients who sustain this injury usually experience acute pain in the anterior pelvic region. We describe a patient with Avulsion of the anterior superior iliac spine who presented with meralgia paresthetica. The symptoms resolved with conservative treatment. [Thanikachalam M, Petros JG, O'Donnell S: Avulsion Fracture of the anterior superior iliac spine presenting as acute-onset meralgia paresthetica. Ann Emerg Med October 1995;26:515-517.]

  • Avulsion Fracture of the anterior superior iliac spine presenting as acute onset meralgia paresthetica
    Annals of Emergency Medicine, 1995
    Co-Authors: Mohan Thanikachalam, James G Petros, Sean Odonnell
    Abstract:

    Avulsion Fracture of the anterior superior iliac spine is rare. Most cases occur in adolescents involved in competitive sports or vigorous exercise in which the sartorius and tensor fascia lata muscles are contracted strongly and suddenly against a hyperextended trunk. Patients who sustain this injury usually experience acute pain in the anterior pelvic region. We describe a patient with Avulsion of the anterior superior iliac spine who presented with meralgia paresthetica. The symptoms resolved with conservative treatment.

Daehee Lee - One of the best experts on this subject based on the ideXlab platform.

Seiji Ohtori - One of the best experts on this subject based on the ideXlab platform.

  • Avulsion Fracture of the distal fibula is associated with recurrent sprain after ankle sprain in children
    Knee Surgery Sports Traumatology Arthroscopy, 2019
    Co-Authors: Satoshi Yamaguchi, Ryosuke Nakagawa, Makoto Kamegaya, Aya Sadamasu, Seiji Kimura, Ryuichiro Akagi, Takahisa Sasho, Yasunori Sato, Seiji Ohtori
    Abstract:

    The purpose of this study was to clarify radiographic and clinical outcomes, as well as their association, of ankle sprain in children. Patients who sustained a first-time ankle sprain were prospectively surveyed. Patients underwent radiography of the ankle in the mortise, lateral, anterior talofibular ligament (ATFL), and calcaneofibular ligament views at the first clinic visit to assess Avulsion Fractures of the distal fibula. Patients with Avulsion Fractures underwent radiography after 8 weeks to assess bone union. The treatment method was not standardized and was determined by the patient, their parents, and the treating physician. Recurrent sprain and quality of life were evaluated by using the Self-Administered Foot Evaluation Questionnaire and reviewing the medical records of patients. The association between Avulsion Fracture and recurrent sprain was assessed using univariate and multivariate analyses. A total of 143 patients with a median age of 9 (range 6–12) years were analyzed. Avulsion Fractures were present in 89 (62%) patients. The sensitivity of the ATFL view for the diagnosis of Avulsion Fractures was 0.94, whereas that for the anteroposterior and lateral views was significantly lower at 0.46 (P < 0.001). Only 17% of Fractures united at 8 weeks. Of 114 (follow-up rate, 80%) patients who were followed up for a median period of 24 months, recurrent sprain occurred in 41 (36%) patients. The incidence rate was significantly higher in patients with Avulsion Fractures than in patients without the Fractures (44 vs. 23%, P = 0.027). In multivariate logistic regression analysis, Avulsion Fracture was independently associated with recurrent sprain (P = 0.027). More than one-third of patients experienced recurrent sprain. The presence of Avulsion Fracture was associated with an increased risk of recurrent sprain. Patients with Avulsion Fracture and their parents should be informed about the risk of recurrent sprain and subsequent ankle instability, and careful follow-up is needed for these patients. III.

  • Avulsion Fracture of the distal fibula is associated with recurrent sprain after ankle sprain in children
    Knee Surgery Sports Traumatology Arthroscopy, 2019
    Co-Authors: Satoshi Yamaguchi, Ryosuke Nakagawa, Makoto Kamegaya, Aya Sadamasu, Seiji Kimura, Ryuichiro Akagi, Takahisa Sasho, Yasunori Sato, Seiji Ohtori
    Abstract:

    PURPOSE The purpose of this study was to clarify radiographic and clinical outcomes, as well as their association, of ankle sprain in children. METHODS Patients who sustained a first-time ankle sprain were prospectively surveyed. Patients underwent radiography of the ankle in the mortise, lateral, anterior talofibular ligament (ATFL), and calcaneofibular ligament views at the first clinic visit to assess Avulsion Fractures of the distal fibula. Patients with Avulsion Fractures underwent radiography after 8 weeks to assess bone union. The treatment method was not standardized and was determined by the patient, their parents, and the treating physician. Recurrent sprain and quality of life were evaluated by using the Self-Administered Foot Evaluation Questionnaire and reviewing the medical records of patients. The association between Avulsion Fracture and recurrent sprain was assessed using univariate and multivariate analyses. RESULTS A total of 143 patients with a median age of 9 (range 6-12) years were analyzed. Avulsion Fractures were present in 89 (62%) patients. The sensitivity of the ATFL view for the diagnosis of Avulsion Fractures was 0.94, whereas that for the anteroposterior and lateral views was significantly lower at 0.46 (P < 0.001). Only 17% of Fractures united at 8 weeks. Of 114 (follow-up rate, 80%) patients who were followed up for a median period of 24 months, recurrent sprain occurred in 41 (36%) patients. The incidence rate was significantly higher in patients with Avulsion Fractures than in patients without the Fractures (44 vs. 23%, P = 0.027). In multivariate logistic regression analysis, Avulsion Fracture was independently associated with recurrent sprain (P = 0.027). CONCLUSION More than one-third of patients experienced recurrent sprain. The presence of Avulsion Fracture was associated with an increased risk of recurrent sprain. Patients with Avulsion Fracture and their parents should be informed about the risk of recurrent sprain and subsequent ankle instability, and careful follow-up is needed for these patients. LEVEL OF EVIDENCE III.

Haydar A Demirel - One of the best experts on this subject based on the ideXlab platform.

  • multiple osteochondroses and Avulsion Fracture of anterior superior iliac spine in a soccer player
    British Journal of Sports Medicine, 2005
    Co-Authors: Mahmut Nedim Doral, Sedat Tolga Aydog, Onur Tetik, Ozgur Ahmet Atay, Egemen Turhan, Haydar A Demirel
    Abstract:

    Apophysitis describes a chronic traction injury at the insertion site of a tendon. There is a gradual onset of pain with no clear history of injury. Without adequate preventive methods, an Avulsion Fracture may result. The case is here reported of an apophyseal Avulsion Fracture of the anterior superior iliac spine in an adolescent caused by playing football before the end of treatment for apophysitis. An open reduction and internal fixation was performed followed by a rehabilitation programme. No complications occurred, and the patient had returned to his previous level of sporting activity after six weeks.