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Clinics in Sports Medicine Apr 2021Pelvic avulsion fractures are common in youth athletes; many of these injuries can be treated conservatively. This article reviews the etiology, presentation, and... (Review)
Review
Pelvic avulsion fractures are common in youth athletes; many of these injuries can be treated conservatively. This article reviews the etiology, presentation, and management of the more common pelvic avulsion fractures, including anterior superior iliac spine, anterior inferior iliac spine, ischial tuberosity, and iliac crest avulsions. Adolescent pelvic avulsion fractures rely on the amount of fracture displacement to guide treatment. Conservative management includes rest and avoiding use of the muscle(s) that attach to the avulsed fragment. Operative treatment is reserved for widely displaced fractures or symptomatic nonunions. With appropriate treatment, young athletes frequently return to their same level of sport.
Topics: Adolescent; Athletes; Athletic Injuries; Conservative Treatment; Fracture Fixation, Internal; Fractures, Avulsion; Fractures, Bone; Humans; Ilium; Ischium; Pelvis
PubMed: 33673893
DOI: 10.1016/j.csm.2020.12.002 -
Acta Orthopaedica Et Traumatologica... 2012We report a 16-year-old soccer player with a displaced avulsion fracture of the ischial tuberosity sustained during a soccer match. Open reduction and internal fixation... (Review)
Review
We report a 16-year-old soccer player with a displaced avulsion fracture of the ischial tuberosity sustained during a soccer match. Open reduction and internal fixation were performed using a longitudinal incision and subgluteal approach. The patient returned to sports 6 months following the operation and returned to his preoperative performance at the 16th month postoperative follow-up. Surgical treatment is often avoided for these types of fractures due to complications associated with the sciatic nerve and exposure difficulty. However, we believe that this incision is a safer alternative to existing methods, providing sufficient exposure and avoiding damage to the neurovascular structures. This article aims to review this alternative incision in the surgical treatment of avulsion fractures of the ischial tuberosity.
Topics: Adolescent; Athletic Injuries; Athletic Performance; Follow-Up Studies; Fracture Fixation, Internal; Fracture Healing; Fractures, Bone; Humans; Injury Severity Score; Ischium; Male; Postoperative Care; Radiography; Recovery of Function; Soccer; Treatment Outcome
PubMed: 23268827
DOI: 10.3944/aott.2012.2650 -
Skeletal Radiology 1988The ischium represents one of the rarest sites of giant cell tumor of bone. Two additional cases are presented here. The unusual site, aggressive appearance and... (Review)
Review
The ischium represents one of the rarest sites of giant cell tumor of bone. Two additional cases are presented here. The unusual site, aggressive appearance and occurrence in older individuals are suggestive of other primary and secondary malignancies. Characteristic features of giant cell tumor and current treatment options are reviewed.
Topics: Bone Neoplasms; Curettage; Giant Cell Tumors; Humans; Ischium; Male; Middle Aged; Radiography
PubMed: 3282309
DOI: 10.1007/BF00361455 -
Zeitschrift Fur Orthopadie Und Ihre... 1992The authors report on a case of tumoral calcinosis of the ischium in a 63 year old female. A general review of the literature on pathogenesis, histological... (Review)
Review
The authors report on a case of tumoral calcinosis of the ischium in a 63 year old female. A general review of the literature on pathogenesis, histological characteristics and the way of treatment is given and the prognosis of tumoral calcinosis pointed out.
Topics: Bone Neoplasms; Calcinosis; Female; Humans; Ischium; Middle Aged; Tomography, X-Ray Computed
PubMed: 1492459
DOI: 10.1055/s-2008-1039664 -
Clinical Anatomy (New York, N.Y.) Sep 2014Despite the importance of the human pelvis as a weight-bearing structure, there is a paucity of literature that discusses the development of the juvenile innominate from...
Despite the importance of the human pelvis as a weight-bearing structure, there is a paucity of literature that discusses the development of the juvenile innominate from a biomechanical perspective. This study aims to add to the limited body of literature pertaining to this topic through the qualitative analysis of the gross architecture of the human ischium during the juvenile period. Macro-radiographs of 55 human ischia ranging from 28 intra-uterine weeks to 14 years of age were examined using intensity-gradient color mapping to highlight changes in gross structural morphology with increasing age. A clear pattern of maturation was observed in the juvenile ischium with increasing age. The acetabular component and ramus of the ischium consistently displayed low bone intensity in the postnatal skeletal material. Conversely the posterior body of the ischium, and in particular the ischial spine and lesser sciatic notch, exhibited increasing bone intensity which first arose at 1-2 years of age and became more expansive in older cohorts. The intensity patterns observed within the developing juvenile ischium are indicative of the potential factors influencing the maturation of this skeletal element. While the low intensity acetabular fossa indicates a lack of significant biomechanical interactions, the posterior increase in bone intensity may be related to the load-bearing nature of the posterior ischium.
Topics: Adolescent; Child; Child, Preschool; Fetus; Humans; Infant; Infant, Newborn; Ischium; Radiography
PubMed: 24639178
DOI: 10.1002/ca.22391 -
Joint Bone Spine Dec 2017
Topics: Adult; Arthralgia; Bone Diseases, Developmental; Hip; Hip Joint; Humans; Ischium; Joint Dislocations; Male; Patella; Prognosis; Tomography, X-Ray Computed
PubMed: 28196777
DOI: 10.1016/j.jbspin.2017.01.007 -
Journal of Orthopaedic Science :... May 2021
Topics: Femoracetabular Impingement; Femur; Hip Joint; Humans; Ischium; Magnetic Resonance Imaging
PubMed: 30348484
DOI: 10.1016/j.jos.2018.08.029 -
Surgical and Radiologic Anatomy : SRA Mar 2019Details concerning the normal growth of the pelvic girdle in the fetus are of importance in the early detection of congenital defects. This study was executed to...
PURPOSES
Details concerning the normal growth of the pelvic girdle in the fetus are of importance in the early detection of congenital defects. This study was executed to quantitatively evaluate the primary ossification center of the ischium with relation to its linear, planar and volumetric parameters.
MATERIALS AND METHODS
Using methods of CT, digital-image analysis, and statistics, geometrical dimensions of the ischium's primary ossification center in 42 spontaneously aborted human fetuses (21 ♂ and 21 ♀) aged 18-30 weeks were calculated.
RESULTS
With no sex and laterality differences, the best fit growth dynamics for the ischium's primary ossification center were displayed by the following functions: y = - 10.045 + 0.742 × age ± 0.013 (R = 0.97) for its vertical diameter, y = - 5.212 + 0.385 × age ± 0.008 (R = 0.97) for its sagittal diameter, y = - 36.401 + 0.122 × (age) ± 45.534 (R = 0.96) for its projection surface area, and y = - 1052.840 + 368.470 × ln(age) ± 12.705 (R = 0.91) for its volume.
CONCLUSIONS
Neither male-female nor right-left differences are found for any of the morphometric parameters of the ischium's primary ossification center. With relation to fetal ages in weeks, the ischium's primary ossification center grows proportionately in vertical and sagittal diameters, second-degree polynomially in projection surface area, and logarithmically in volume. The quantitative findings of the ischium's primary ossification center are considered age-specific reference data of relevance in the diagnostics of innate defects.
Topics: Cadaver; Female; Fetal Development; Gestational Age; Humans; Ischium; Male; Osteogenesis; Tomography, X-Ray Computed
PubMed: 30574671
DOI: 10.1007/s00276-018-2171-5 -
Archives of Orthopaedic and Traumatic... 1986This paper describes a gluteal approach to the ischium which facilitates a good exposure of the whole region from the lower part of the ischium to the pubic ramus and...
This paper describes a gluteal approach to the ischium which facilitates a good exposure of the whole region from the lower part of the ischium to the pubic ramus and allows extensive resections and partial hip reconstruction if necessary. The approach is demonstrated as used in two cases - one benign (desmoplastic fibroma) and one malignant tumor (chondrosarcoma).
Topics: Buttocks; Hip Joint; Humans; Ischium; Methods
PubMed: 3813852
DOI: 10.1007/BF00449945 -
Injury Oct 1998
Topics: Adult; Athletic Injuries; Bone Screws; Fracture Fixation, Internal; Fractures, Closed; Humans; Ischium; Male; Radiography
PubMed: 10209599
DOI: 10.1016/s0020-1383(98)00140-5