24332Array
(
    [TITRE_TRAVAIL] => Array
        (
            [0] => REMOVAL OF THE ANTERO-SUPERIOR AND ANTERO-INFERIOR ILIAC SPINES IN ADOLESCENT ATHLETES: ABOUT TWO CASES
        )

    [etablissement] => Array
        (
            [0] => hôpital Aghalba kairouan
        )

    [nom] => Array
        (
            [0] => Ben Ticha
        )

    [prenom] => Array
        (
            [0] => Ahmed
        )

    [email] => Array
        (
            [0] => benticha_ahmed@yahoo.fr
        )

    [telephone] => Array
        (
            [0] => 92881367
        )

    [auteurs] => Array
        (
            [0] => 
 
Nom prénom: Mansi Zied
Email: 
Hôpital: Hôpital Aghalba kairouan

 
Nom prénom: Ben ticha Ahmed
Email: benticha_ahmed@yahoo.fr
Hôpital: Hôpital Aghalba kairouan

 
Nom prénom: Taghouti Mohamed
Email: 
Hôpital: Hôpital Aghalba kairouan

 
Nom prénom: Tounsi Abdelkader
Email: 
Hôpital: Hôpital Aghalba kairouan

 
Nom prénom: Rbai Hedi
Email: 
Hôpital: Hôpital Aghalba kairouan

        )

    [mots_cles] => Array
        (
            [0] => 
        )

    [event-id] => Array
        (
            [0] => 3663
        )

    [statut] => Array
        (
            [0] => 1
        )

    [forme] => Array
        (
            [0] => none
        )

    [abstract] => Array
        (
            [0] => https://www.sotcot.tn/wp-content/uploads/gravity_forms/1-734bfe19ec36a1528718899bf7a2927f/2024/03/REMOVAL-OF-THE-ANTERO-ABSTRACT.docx
        )

    [user_email] => Array
        (
            [0] => benticha_ahmed@yahoo.fr
        )

    [specialite] => Array
        (
            [0] => Chirurgie orthopédique et traumatologique
        )

    [pays] => Array
        (
            [0] => Tunisie
        )

    [texte_abs] => Array
        (
            [0] => REMOVAL OF THE ANTERO-SUPERIOR AND ANTERO-INFERIOR ILIAC SPINES IN ADOLESCENT ATHLETES: ABOUT TWO CASES

Introduction :
Avulsion fractures of the pelvic processes in children and adolescents are uncommon conditions that occur during physical exertion. They are responsible for acute hip pain and are often confused with tendon injuries and muscle tears. The diagnosis is guided by the clinic and confirmed by radiology. As for the treatment, it is essentially orthopedic.
Case presentation:
Case 1: 
A 16-year-old boy sustained a tear fracture of the right anteroinferior iliac spine during a sprint, experiencing immediate hip pain and functional impotence. Diagnosis via X-ray and CT scan was followed by ten days of rest with a boppe splint, gradually returning to activity over three months with full symptom resolution.
Case 2 :
A 19-year-old man presented with severe left hip pain and functional impairment. Examination revealed tenderness around the left anterior superior iliac spine. CT scan confirmed a tear. Treatment mirrored the previous case, yielding pain relief within weeks. He resumed sports after three months, experiencing no complications.
Discussion :
During adolescence, as pelvic apophyseal nuclei ossify, avulsion fractures become common during sports, often affecting the ischial tuberosity, anterior superior iliac spine, and anterior inferior iliac spine, typically unilateral. These tears result from sudden muscle contractions during athletic maneuvers, presenting with severe hip pain, functional impairment, and palpable tenderness. Accurate diagnosis through imaging, such as X-rays or CT scans, is crucial to distinguish from musculotendinous injuries. Orthopedic management involves bed rest with hip flexion, analgesia, gradual weight-bearing, and return to sports around the third month. Surgery is rare, reserved for severe cases with significant displacement, typically over 2cm. Complications may include exostoses and nonunions with orthopedic treatment, while surgical risks include meralgia paresthetica, sepsis, and hardware fracture. Active rehabilitation should be delayed until after the eighth week to prevent ectopic ossification. Overall, orthopedic treatment yields satisfactory functional outcomes in most cases.
Conclusion :
Pelvic avulsion fractures, rare but significant in youth, necessitate prompt radiological diagnosis for orthopedic management, underlining preventative measures like warm-ups and stretching.
        )

    [rank_math_internal_links_processed] => Array
        (
            [0] => 1
        )

    [ple-content_has_sections] => Array
        (
            [0] => 
        )

    [_eael_post_view_count] => Array
        (
            [0] => 18
        )

    [trx_addons_post_views_count] => Array
        (
            [0] => 16
        )

    [ekit_post_views_count] => Array
        (
            [0] => 16
        )

    [trx_addons_post_likes_count] => Array
        (
            [0] => 0
        )

)