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Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes
Background: Avulsion injuries of the lesser trochanter apophysis are relatively uncommon injuries and there have been no peer-reviewed case series dedicated to the evaluation and treatment of this injury. The purpose of this study is to characterize avulsion injuries of the lesser trochanter apophys...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278968/ https://www.ncbi.nlm.nih.gov/pubmed/34306849 http://dx.doi.org/10.7759/cureus.15638 |
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author | Volpi, Alexander Matzko, Chelsea Feghhi, Daniel Matheney, Travis Bharam, Srino |
author_facet | Volpi, Alexander Matzko, Chelsea Feghhi, Daniel Matheney, Travis Bharam, Srino |
author_sort | Volpi, Alexander |
collection | PubMed |
description | Background: Avulsion injuries of the lesser trochanter apophysis are relatively uncommon injuries and there have been no peer-reviewed case series dedicated to the evaluation and treatment of this injury. The purpose of this study is to characterize avulsion injuries of the lesser trochanter apophysis, review treatment protocols, and time to return to sport. Methods: We reviewed 30 confirmed avulsion fractures of the lesser trochanter. Clinical data were reviewed to evaluate treatment protocols, duration, and time to return to sport. Radiographs were reviewed to confirm lesser trochanter avulsion and fracture displacement. Results: There were 26 males and 4 females, with the average age at the time of injury being 14.2 years. Treatment modalities consisted of protective weight-bearing, discontinuation of the patient’s sport in all cases, and formal physical therapy in 18 cases. The average treatment duration was 30.7 days. The mean follow-up time was 102 days. The radiographic assessment demonstrated an average fracture displacement of 5.1 mm. The average return to sport was 11 weeks. Conclusion: This is the first large case series studying avulsion injuries of the lesser trochanter. We have shown that these athletes can be managed non-surgically and can successfully return back to sport within three months. |
format | Online Article Text |
id | pubmed-8278968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-82789682021-07-22 Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes Volpi, Alexander Matzko, Chelsea Feghhi, Daniel Matheney, Travis Bharam, Srino Cureus Pediatrics Background: Avulsion injuries of the lesser trochanter apophysis are relatively uncommon injuries and there have been no peer-reviewed case series dedicated to the evaluation and treatment of this injury. The purpose of this study is to characterize avulsion injuries of the lesser trochanter apophysis, review treatment protocols, and time to return to sport. Methods: We reviewed 30 confirmed avulsion fractures of the lesser trochanter. Clinical data were reviewed to evaluate treatment protocols, duration, and time to return to sport. Radiographs were reviewed to confirm lesser trochanter avulsion and fracture displacement. Results: There were 26 males and 4 females, with the average age at the time of injury being 14.2 years. Treatment modalities consisted of protective weight-bearing, discontinuation of the patient’s sport in all cases, and formal physical therapy in 18 cases. The average treatment duration was 30.7 days. The mean follow-up time was 102 days. The radiographic assessment demonstrated an average fracture displacement of 5.1 mm. The average return to sport was 11 weeks. Conclusion: This is the first large case series studying avulsion injuries of the lesser trochanter. We have shown that these athletes can be managed non-surgically and can successfully return back to sport within three months. Cureus 2021-06-14 /pmc/articles/PMC8278968/ /pubmed/34306849 http://dx.doi.org/10.7759/cureus.15638 Text en Copyright © 2021, Volpi et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Pediatrics Volpi, Alexander Matzko, Chelsea Feghhi, Daniel Matheney, Travis Bharam, Srino Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title | Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title_full | Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title_fullStr | Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title_full_unstemmed | Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title_short | Conservative Treatment of Avulsion Injuries of the Lesser Trochanter in Adolescent Athletes |
title_sort | conservative treatment of avulsion injuries of the lesser trochanter in adolescent athletes |
topic | Pediatrics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8278968/ https://www.ncbi.nlm.nih.gov/pubmed/34306849 http://dx.doi.org/10.7759/cureus.15638 |
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