Citation

Havlas V, Gaheer RS, Trc T, Anwar F. Inj. Extra 2007; 38(10): 352-355.

Copyright

(Copyright © 2007, Elsevier Publishing)

DOI

10.1016/j.injury.2007.01.027

PMID

unavailable

Abstract

A 16-year-old boy was running a 100 m sprint. About 40 m from the starting line, he felt a sharp snap in his right groin with moderate sudden pain. As he decelerated, there was similar snap with sudden pain in the left groin. He collapsed to the ground with moderate pain over both the groins. On arrival in the emergency department by ambulance about an hour from the time of injury, the pain was still localised to both the groins and had somewhat subsided with analgesics. On examination, he was of moderate build with good muscular tone. A radiograph of the pelvis was performed which showed bilateral avulsion of the anterior superior iliac spine (ASIS). Avulsion fracture of the ASIS is an uncommon injury, accounting for only 1.4% of injuries to the hip and pelvis. It is mostly seen in adolescent competitive athletes, usually sprinters, distance runners and soccer players, more commonly in boys (13:1). In the skeletally immature adolescent athlete, the physis is the weakest component of the muscle.