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Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review

Avulsion fractures of the pelvis and hip region are typical injuries in adolescent athletes. Avulsion sites include the muscle tendon origin or insertion, and treating these injuries surgically or conservatively remains a debated issue. The main goals of this review were to assess and summarize inju...

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Autores principales: Di Maria, Fabrizio, Testa, Gianluca, Sammartino, Fabio, Sorrentino, Marco, Petrantoni, Vincenzo, Pavone, Vito
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537814/
https://www.ncbi.nlm.nih.gov/pubmed/36210934
http://dx.doi.org/10.3389/fped.2022.947463
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author Di Maria, Fabrizio
Testa, Gianluca
Sammartino, Fabio
Sorrentino, Marco
Petrantoni, Vincenzo
Pavone, Vito
author_facet Di Maria, Fabrizio
Testa, Gianluca
Sammartino, Fabio
Sorrentino, Marco
Petrantoni, Vincenzo
Pavone, Vito
author_sort Di Maria, Fabrizio
collection PubMed
description Avulsion fractures of the pelvis and hip region are typical injuries in adolescent athletes. Avulsion sites include the muscle tendon origin or insertion, and treating these injuries surgically or conservatively remains a debated issue. The main goals of this review were to assess and summarize injury types and sites, treatment-related clinical outcomes, and return to sport for adolescent patients with a pelvis avulsion fracture and to provide support for making treatment decisions. The PubMed database was searched in November 2021 to identify all published articles from 2000 to 2021 that reported the outcome and return to sport after conservative or surgical treatment. Eighteen studies with 453 patients were included in this review. The age range was 13.6–16.8 years. The most common injury site the was anterior superior iliac spine (37%), followed by the anterior inferior iliac spine (31%), ischial tuberosity (14%), lesser trochanter (9%), iliac crest (8%), and superior corner of the pubic symphysis (1%). Overall complications were lower in the surgical group compared to the conservative group. The rate of return to pre-injury activity level was greater in patients who underwent surgical treatment (p < 0.05). In conclusion, surgery is preferred for major dislocation and fragment size, providing a better return-to-sport rate and decreasing the risk of complications.
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spelling pubmed-95378142022-10-08 Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review Di Maria, Fabrizio Testa, Gianluca Sammartino, Fabio Sorrentino, Marco Petrantoni, Vincenzo Pavone, Vito Front Pediatr Pediatrics Avulsion fractures of the pelvis and hip region are typical injuries in adolescent athletes. Avulsion sites include the muscle tendon origin or insertion, and treating these injuries surgically or conservatively remains a debated issue. The main goals of this review were to assess and summarize injury types and sites, treatment-related clinical outcomes, and return to sport for adolescent patients with a pelvis avulsion fracture and to provide support for making treatment decisions. The PubMed database was searched in November 2021 to identify all published articles from 2000 to 2021 that reported the outcome and return to sport after conservative or surgical treatment. Eighteen studies with 453 patients were included in this review. The age range was 13.6–16.8 years. The most common injury site the was anterior superior iliac spine (37%), followed by the anterior inferior iliac spine (31%), ischial tuberosity (14%), lesser trochanter (9%), iliac crest (8%), and superior corner of the pubic symphysis (1%). Overall complications were lower in the surgical group compared to the conservative group. The rate of return to pre-injury activity level was greater in patients who underwent surgical treatment (p < 0.05). In conclusion, surgery is preferred for major dislocation and fragment size, providing a better return-to-sport rate and decreasing the risk of complications. Frontiers Media S.A. 2022-09-23 /pmc/articles/PMC9537814/ /pubmed/36210934 http://dx.doi.org/10.3389/fped.2022.947463 Text en Copyright © 2022 Di Maria, Testa, Sammartino, Sorrentino, Petrantoni and Pavone. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Pediatrics
Di Maria, Fabrizio
Testa, Gianluca
Sammartino, Fabio
Sorrentino, Marco
Petrantoni, Vincenzo
Pavone, Vito
Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title_full Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title_fullStr Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title_full_unstemmed Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title_short Treatment of avulsion fractures of the pelvis in adolescent athletes: A scoping literature review
title_sort treatment of avulsion fractures of the pelvis in adolescent athletes: a scoping literature review
topic Pediatrics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9537814/
https://www.ncbi.nlm.nih.gov/pubmed/36210934
http://dx.doi.org/10.3389/fped.2022.947463
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