scholarly journals Avulsion fracture of the lesser trochanter: an unusual cause of hip pain in an adolescent

CJEM ◽  
2013 ◽  
Vol 15 (02) ◽  
pp. 124-126 ◽  
Author(s):  
Eugenio Vazquez ◽  
Tommy Y. Kim ◽  
Timothy P. Young
Keyword(s):  
Children And Adolescents ◽  
Groin Pain ◽  
Avulsion Fracture ◽  
Sports Injuries ◽  
Acute Onset ◽  
Musculoskeletal Injuries ◽  
Hip Pain ◽  
Special Consideration ◽  
Lesser Trochanter ◽  
Adolescent Athlete

ABSTRACTSports injuries involving the hip and groin are common. Special consideration must be given to musculoskeletal injuries in children and adolescents as their immature skeletons have growth plates that are relatively weaker than the tendons and ossified bone to which they connect. We present a case of an adolescent athlete with acute-onset groin pain who was found to have an avulsion fracture of the lesser trochanter.

scholarly journals Preliminary Presentation of Metastatic Non-Small Cell Carcinoma of the Lung as Atraumatic Avulsion Fracture of the Lesser Trochanter

2020 ◽  
Vol 13 (1) ◽  
pp. 436-441
Author(s):  
Adam Creissen ◽  
Aysha Rajeev ◽  
Kumud Jain ◽  
Paul Banaszkiewicz
Keyword(s):  
Cell Carcinoma ◽  
Small Cell Carcinoma ◽  
Groin Pain ◽  
Avulsion Fracture ◽  
Small Cell ◽  
Avulsion Fractures ◽  
Lesser Trochanter ◽  
Tumour Biopsy ◽  
History Of ◽  
Lesser Trochanter Avulsion

Traumatic avulsion fractures of the lesser trochanter are usually seen along with fractures of the proximal femur and with young adolescents involved in high-intensity sporting injuries. Atraumatic isolated lesser trochanter avulsion in adults are most commonly associated with malignancy. We describe a case of a female in her sixties who was previously fit and healthy with no systemic illness and no history of trauma presenting with groin pain. The X-ray demonstrated an isolated lesser trochanter avulsion fracture. Further imaging including MRI and a staging CT scan of the neck, chest, abdomen and pelvis revealed a pulmonary tumour. Biopsy later confirmed this as a non-small cell carcinoma of the lung. At the time of publication, she had been started on palliative chemotherapy (afatinib) with encouraging results.

Traumatic Injuries in Pediatric Surgery in the Medical-epidemiological-economic Aspect

2019 ◽  
Vol 21 (4) ◽  
pp. 261-270
Author(s):  
Sławomir Kiepura ◽  
Julian Dutka ◽  
Maria Wieczorek-Grohman ◽  
Łukasz Dutka
Keyword(s):  
Children And Adolescents ◽  
Pediatric Surgery ◽  
Sports Injuries ◽  
Musculoskeletal Injuries ◽  
Road Accidents ◽  
Cost Of Treatment ◽  
Traumatic Injuries ◽  
Specialized Hospital ◽  
The Subject ◽  
The Cost

Background. The aim of this study was to present the medical, epidemiological and economic aspects of traumatic injuries in children and adolescents. The literature on the subject is scarce. Material and methods: A retrospective analysis was performed on the data of 1,138 children treated at the Department of Pediatric Surgery, Stefan Żeromski Specialized Hospital in Kraków between 2012 and 2016 on account of head, abdominal and pelvic, chest, testicular and musculoskeletal injuries. Age, sex, circumstances and type of the injury as well as concomitant damage were analyzed. Results. Musculoskeletal injuries accounted for 68% of all the injuries analysed. The mean age of the patients was 6.3 years. The main causes of injury were same-level fall (30%), fall from a height (22.5%), road accidents (8%), and sports injuries (19%). 36% and 29% of the patients sustained injuries at home and at or near school, respectively. Conclusions: 1. Traumatic injuries in children and adolescents are the most common cause of admissions to pediatric surgery departments, with musculoskeletal injuries being the most frequent among them. 2. Injuries occur most frequently at or near home or school. 3. The cost of treatment and hospital stay of patients with musculoskeletal injuries accounted for 50% of the total cost of treatment in the Department of Pediatric Surgery. 4. There is a need to develop and implement preventive and educational programs for parents, guardians, teachers and children to prevent injuries.

An adolescent athlete with groin pain

BMJ ◽  
2014 ◽  
Vol 348 (apr28 3) ◽  
pp. g2766-g2766
Author(s):  
J. Thing ◽  
C. Coates ◽  
M. Bundy
Keyword(s):  
Groin Pain ◽  
Adolescent Athlete

Laceration of Femoral Vessels by an Avulsion Fracture Fragment of the Lesser Trochanter After Bipolar Hemiarthroplasty

2005 ◽  
Vol 20 (5) ◽  
pp. 680-683 ◽  
Author(s):  
Yong-Chan Ha ◽  
Simion Luminita ◽  
Se-Hyun Cho ◽  
Jun-Young Choi ◽  
Kyung-Hoi Koo
Keyword(s):  
Avulsion Fracture ◽  
Bipolar Hemiarthroplasty ◽  
Fracture Fragment ◽  
Lesser Trochanter ◽  
Femoral Vessels

scholarly journals Isolated Avulsion Fracture of the Lesser Trochanter in Adults

In Vivo ◽  
2020 ◽  
Vol 34 (6) ◽  
pp. 3519-3526
Author(s):  
HWAN SEONG CHO ◽  
YOUNG-KYUN LEE ◽  
BYUNG-HO YOON ◽  
JUNG-WEE PARK ◽  
YONG-CHAN HA ◽  
...  
Keyword(s):  
Avulsion Fracture ◽  
Lesser Trochanter

Acute onset of autoimmune hepatitis in children and adolescents

2020 ◽  
Vol 19 (1) ◽  
pp. 17-21 ◽  
Author(s):  
Vratislav Smolka ◽  
Oksana Tkachyk ◽  
Jiri Ehrmann ◽  
Eva Karaskova ◽  
Martin Zapalka ◽  
...  
Keyword(s):  
Autoimmune Hepatitis ◽  
Children And Adolescents ◽  
Acute Onset

Diagnosis and Management of Borderline Hip Dysplasia and Acetabular Retroversion

2018 ◽  
Vol 02 (04) ◽  
pp. 156-166
Author(s):  
Tai Holland ◽  
Holly Thomas-Aitken ◽  
Jessica Goetz ◽  
Michael Willey
Keyword(s):  
Surgical Treatment ◽  
Hip Dysplasia ◽  
Groin Pain ◽  
Periacetabular Osteotomy ◽  
Hip Pain ◽  
Acetabular Retroversion ◽  
Short Term ◽  
Radiographic Findings ◽  
Lateral Hip Pain

AbstractBorderline hip dysplasia and acetabular retroversion are common radiographic findings in young individuals with and without hip pain. Orthopaedic surgeons should be knowledgeable about the radiographic findings, diagnosis, and appropriate nonsurgical and surgical treatment of these conditions. Borderline hip dysplasia is generally defined by a lateral center edge angle of Wiberg from 20 to 25° (some define as 18–25°) and is a cause of joint microinstability. The degree of soft tissue laxity can have significant implications for joint stability in patients with borderline hip dysplasia. The most common presenting symptoms are groin pain and lateral hip pain. Acetabular retroversion is defined by radiographic findings of crossover sign, ischial spine sign, and posterior wall sign. Individuals with symptomatic retroversion have a clinical presentation consistent with impingement, groin pain with flexion activities, and less commonly lateral hip pain. Physical therapy has been shown to improve symptoms in a subset of individuals with these conditions. There are multiple recent publications about arthroscopic treatment of patients with borderline hip dysplasia. These reports generally find that good short-term outcomes can be expected when using arthroscopic techniques that include labral preservation/repair and capsular plication. There are limited reports of periacetabular osteotomy as a treatment for borderline hip dysplasia. Publications focusing specifically on surgical treatment of acetabular retroversion are also infrequent. Periacetabular osteotomy has been shown to have superior long-term clinical outcomes to surgical hip dislocation with anterior rim trimming in patients with all three radiographic findings of retroversion. Arthroscopic treatment has been shown to have good short-term outcomes. Future work in the areas of borderline hip dysplasia and acetabular retroversion should focus on reporting long-term clinical follow-up of these surgical treatments and using computation techniques as a tool to determine appropriate surgical and nonsurgical treatment for each individual patient.

Sports Injuries in Children and Adolescents

2014 ◽  
Author(s):  
Rosa Mónica Rodrigo ◽  
Joan C. Vilanova ◽  
José Martel
Keyword(s):  
Children And Adolescents ◽  
Sports Injuries

scholarly journals Epidemiology of sports injuries in basketball: integrative systematic review

2018 ◽  
Vol 4 (1) ◽  
pp. e000468 ◽  
Author(s):  
Carlos Vicente Andreoli ◽  
Bárbara Camargo Chiaramonti ◽  
Elisabeth Biruel ◽  
Alberto de Castro Pochini ◽  
Benno Ejnisman ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sports Injuries ◽  
Knee Injuries ◽  
Musculoskeletal Injuries ◽  
The Body ◽  
Lower Limbs ◽  
Integrative Review ◽  
Ankle Injuries ◽  
Upper Limbs ◽  
Sources Of Information

IntroductionBasketball is a contact sport with complex movements that include jumps, turns and changes in direction, which cause frequent musculoskeletal injuries in all regions of the body.ObjectiveThis is an integrative systematic review of the epidemiology of musculoskeletal injuries in basketball.MethodsThis is an integrative review based on the following sources of information: PubMed/MEDLINE, Embase, LILACS, BBO-Biblioteca Brasileira de Odontologia, IBECS-Índice Bibliográfico Espanhol em Ciências da Saúde, nursing journals, dental journals and core clinical journals in the last 10 years with studies addressing the general epidemiology of sports injuries in basketball.ResultsIn total, 268 articles were selected, of which 11 were eligible for the integrative review. A total of 12 960 injuries were observed, most of which occurred in the lower limbs (63.7%), with 2832 (21.9%) ankle injuries and 2305 (17.8%) knee injuries. Injuries in the upper limbs represented 12%–14% of the total injuries. Children and adolescents received head injuries more often compared with the other age and skill categories. In the adult category, there was an increased prevalence of injuries in the trunk and spine. In the upper limbs, hands, fingers and wrists were affected more frequently than the shoulders, arms and forearms. In the masters’ category, there was an increase in the incidence of thigh injuries.ConclusionThe lower limbs were the most affected, with the ankle and knee joints having the highest prevalence of injuries regardless of gender and category. Further randomised studies, increased surveillance and epidemiological data collection are necessary to improve knowledge on sports injuries in basketball and to validate the effectiveness of preventive interventions.

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