TÜMÖRE BENZEYEN SPİNA İLİAKA ANTERİOR SUPERİOR AVULSİYON KIRIĞI VAKASI: OLGU SUNUMU

Spina iliaka anterior superior avulsiyon kırıkları nadirdir ve genellikle adölesan dönemde görülür. Avulsiyon kırıklarına çoğunlukla kırık hematomu, kırık sonrası osteoliz ve kallus oluşumu eşlik eder. Radyolojik incelemede bu tablo Ewing sarkomu yada osteosarkom gibi malign bir süreçle karıştırılabilir. Tedavisi genellikle konservatiftir, ancak ciddi deplasman olduğunda cerrahi tedavi uygulanır.

A CASE OF BONE TUMOR MIMICKING AVULSION FRACTURE OF THE ANTERIOR SUPERIOR ILIAC SPINE: A CASE REPORT

Avulsion fractures of the anterior superior iliac spine are rare and this injury is usually seen in adolescents. These avulsion injuries usually have an associated haematoma and develop excessive callus with postfracture osteolysis, which on radiological investigation may be mistaken for an osteosarcoma, Ewing’s sarcoma. Treatment for this injury is usually conservative; however, surgical management has been reported in those with significant displacement. 

___

  • 1. Çirçi E. Olgu sunumu: Ergenlik döneminde sporcularda görülen pelvis ve kalça bölgesi avülsiyon kırıkları Spor Hekimliği Dergisi; Cilt: 44, S. 139-145, 2009.
  • 2. Dhinsa BS, Jalgaonkar A, Mann B, Butt S, Pollock R. Avulsion fracture of the anterior superior iliac spine: misdiagnosis of a bone tumour. J Orthop Traumatol. 2011 Sep;12(3):173-6.
  • 3. Eberbach H, Hohloch L, Feucht MJ, Konstantinidis L, Südkamp NP, Zwingmann J. Operative versus conservative treatment of apophyseal avulsion fractures of the pelvis in the adolescents: a systematical review with meta-analysis of clinical outcome and return to sports. BMC Musculoskelet Disord. 2017 Apr 19;18(1):162.
  • 4. Kautzner J, Trc T, Havlas V. Comparison of conservative against surgical treatment of anterior-superior iliac spine avulsion fractures in children and adolescents. Int Orthop. 2014 Jul;38(7):1495-8.
  • 5. Rossi F, Dragoni S. Acute avulsion fractures of the pelvis in adolescent competitive athletes: prevalence, location and sports distribution of 203 cases collected. Skeletal Radiol. 2001 Mar;30(3):127- 31.
  • 6. Tüzüner T, Ozturan KE, Karaca E, Ulgür M. Avulsion fracture of the anterior superior iliac spine in a volleyball player. Acta Orthop Traumatol Turc. 2003;37(4):340-3.