27 December 2018 : Review article
Avulsion Fractures of the Ischial Tuberosity: Progress of Injury, Mechanism, Clinical Manifestations, Imaging Examination, Diagnosis and Differential Diagnosis and TreatmentHeng Liu1ABCDEFG, Yiqun Zhang2ABCDEF, Moujie Rang1ABCDE, Qiang Li3BCDE, Zhaowei Jiang1BCDE, Jidong Xia1BCD, Mingyi Zhang1BCDEF, Xuan Gu1BCD, Changfu Zhao1ABCDEFG*
Med Sci Monit 2018; 24: REV9406-9412
Avulsion fracture of the ischial tuberosity (AFIT) is a rare adolescent sports injury. At present, there is no consensus on its therapeutic paradigm, but conservative treatment appears to be the predominate choice. Furthermore, the degree of fracture displacement (DFD) remains as an important factor in determining whether AFIT needs internal fixation. The aim of the present study was to review and update the injury mechanism, clinical manifestations, imaging examination, diagnosis and differential diagnosis, and treatment of AFIT. A literature search was performed on a variety of databases using text words, and the results were limited to the English language. This review provides an important reference for the diagnosis and treatment of AFIT. AFIT can be easily misdiagnosed. Therefore, a detailed medical history and imaging examination are crucial for a correct diagnosis and differential diagnosis. For the choice of treatment of AFIT, it is necessary to consider not only the size of the fracture and DFD, but also the long-term functional needs of the patient.
Keywords: Fractures, Bone, Ischium, Surgical Procedures, Operative
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