Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Jan 18, 2024; 15(1): 94-100
Published online Jan 18, 2024. doi: 10.5312/wjo.v15.i1.94
Surgical treatment of an old avulsion fracture of the ischial tuberosity and ischial ramus: A case report
Zi-Ru Chen, Shi-Jie Liao, Fu-Chun Yang
Zi-Ru Chen, Shi-Jie Liao, Fu-Chun Yang, Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Author contributions: Chen ZR collected the clinical data, and drafted the manuscript; Liao SJ assisted in performing the research; Yang FC designed and performed the research, and revised the manuscript; and all authors have read and approve the final manuscript.
Informed consent statement: The patient provided informed written consent prior to study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Fu-Chun Yang, MD, PhD, Chief Doctor, Professor, Department of Orthopedic Trauma and Hand Surgery, The First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Road, Nanning 530021, Guangxi Zhuang Autonomous Region, China. yangfuch89@163.com
Received: September 15, 2023
Peer-review started: September 15, 2023
First decision: November 9, 2023
Revised: November 21, 2023
Accepted: December 21, 2023
Article in press: December 21, 2023
Published online: January 18, 2024
Processing time: 122 Days and 14.5 Hours
Abstract
BACKGROUND

Avulsion fracture of the ischial tuberosity is a relatively clinically rare type of trauma that is mainly incurred by adolescents during competitive sports activities. According to previous literature, the most commonly involved sports are soccer, sprinting, and gymnastics, in descending order. Dance-induced avulsion fracture of the ischial tuberosity and ischial ramus is extremely clinically rare.

CASE SUMMARY

A case of a neglected avulsion fracture of the ischial tuberosity and ischial ramus was diagnosed in a young female dancer who complained of pain and restricted movement of her right hip. She stated that she had suffered the injury while performing a split leap during a dance performance 9 mo prior. Eventually, she underwent surgery and obtained satisfactory treatment results.

CONCLUSION

Early diagnosis of these fractures is important to ensuring early proper treatment towards a quicker recovery. For old fractures with nonunion and chronic buttock pain, surgery is a preferred therapeutic choice with good treatment outcomes.

Keywords: Ischial tuberosity; Ischial ramus; Avulsion fracture; Delayed diagnosis; Split-leap injury; Case report

Core Tip: Avulsion fracture of ischial tuberosity is a rare type of trauma, mainly incurred by adolescents during competitive sports activities. According to previous literature, the most commonly involved sports are soccer, sprinting, and gymnastics. Dance is rarely involved in these fractures. We here report a case of old avulsion fracture of ischial tuberosity and ischial ramus in a young female dancer. She suffered the injury while split-leaping during a dance performance 9 mo prior. Eventually she underwent surgery and obtained satisfactory treatment results. For fractures with nonunion and chronic buttock pain, surgery is a preferred therapeutic choice with good outcomes.