Iliac Crest Avulsion Fracture in a Young Sprinter

Abstract EN

Avulsion fracture of the iliac crest is an uncommon pathology.

It usually occurs in teenagers during sport activities, more common in boys.

We report a case of 16-year-old male competitive sprinter, who had an avulsion of a part of the iliac crest and the anterior-superior iliac spine during a competition.

The traumatism occurred during the period of acceleration phase out of the blocks which corresponds to the maximum traction phase on the tendons.

Then a total loss of function of the lower limb appears forcing him to stop the run.

X-ray and CT scan confirmed the rare diagnosis of avulsion of the quasitotality of the iliac crest apophysis, corresponding to Salter 2 fracture.

We performed an open reduction and internal fixation with two screws, allowing a return to sport after 3 months and his personal best record in the 100 meters at the 6th postoperative month.