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World J Orthop. Mar 18, 2026; 17(3): 113095
Published online Mar 18, 2026. doi: 10.5312/wjo.v17.i3.113095
Published online Mar 18, 2026. doi: 10.5312/wjo.v17.i3.113095
Avulsion fracture of the ischial tuberosity: Is the current evidence sufficient to resolve the challenges of treatment selection?
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: Yang FC is the sole author contributed to manuscript conception and design, literature search, and wrote the paper.
Conflict-of-interest statement: The author reports no relevant conflicts of interest for this article.
Corresponding author: Fu-Chun Yang, MD, PhD, 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.
Received: August 15, 2025
Revised: October 24, 2025
Accepted: December 29, 2025
Published online: March 18, 2026
Processing time: 213 Days and 22.6 Hours
Revised: October 24, 2025
Accepted: December 29, 2025
Published online: March 18, 2026
Processing time: 213 Days and 22.6 Hours
Core Tip
Core Tip: Avulsion fracture of the ischial tuberosity (AFIT) is a clinically rare injury mainly incurred by adolescents during competitive sports. AFIT is frequently misdiagnosed as a tendon tear or muscle strain and selecting an appropriate treatment method remains challenging due to the absence of evidence-based treatment guidelines. A literature review indicated that AFIT exhibits more complex healing patterns than other pelvic avulsion fractures under conservative management. Clinicians should increase their awareness of this type of injury. Aggressive surgical intervention is suggested for patients with displaced AFIT to ensure optimal outcomes and expedite their return to pre-injury athletic performance levels.