The patient was referred to Hamad General Hospital to do bone scan in order to rule out the possibility of avascular necrosis of femoral head and the bone scan result revealed to be negative. The patient continued to have right groin pain and inability to return to his sport activity. Pelvic X-rays, CT scan and MRI were taken and the patient was treated with rest, analgesia, and physiotherapy. In his medical history, he was treated as a case of adductor strain in a private clinic. The onset of pain was sudden after trying to kick the ball forcefully during a competitive game of football. Al Dosari).Ī 17 year-old man was referred to our clinic with a 2 years history of persistent right groin pain and inability to return to his sport activity. However, femoroacetabular impingement due to hypertrophic malunion of avulsed fracture of anterior, inferior iliac spine has rarely been reported. įemoroacetabular impingement is caused by structural abnormalities on both acetabular and femoral sides that lead to chronic groin pain and progressive degenerative changes. This injury occurs most frequently in sports that involve kicking like football, soccer and rugby.
#Imran yousef license#
This is an open access article under the CC BY-NC-ND license ().Īvulsion fractures of the anterior inferior iliac spine are rarely encountered and most commonly associated with trauma or overuse. The patient was surgically treated in order to relieve symptoms and avoid osteoarthritis.ĬONCLUSION: Malunited avulsion fracture of anterior inferior iliac spine can cause extra-articular femoroacetabular impingement. DISCUSSION: This is the first case of hypertrophic malunion of avulsion fracture of anterior inferior iliac spine with femoroacetabular impingement that has been recognized in Qatar. The patient was surgically treated when conservative management was unsuccessful. Detailed history, clinical examination, X-rays and CT scan revealed hypertrophic malunion of avulsion fracture of anterior inferior iliac spine causing an extra-articular type of femoroacetabular impingement. INTRODUCTION: Avulsion fractures of the anterior inferior iliac spine are uncommon and such injuries are caused by the sudden forceful contraction of the straight head of rectus femoris muscle while the hip is hyperextended and the knee is flexed.ĬASE PRESENTATION: This case report describes the condition of 17 year old male footballer who complained of pain in the right groin for duration of 2 years after being involved in forceful sport activity. Keywords: Avulsion fracture Femoroacetabular impingement Extra-articular hip impingement Anterior inferior iliac spine Orthopedic Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar Abdullah *, Syed Imran Ghouri2, Yousef Abuodeh3, Mohammed M. Ghalib Ahmed Alhaneedi1, Abdullah Saad A. Journal homepage: Avulsion fracture of anterior inferior iliac spine complicated by hypertrophic malunion causing femoroacetabular impingement: Case report International Journal of Surgery Case Reports International journal ofSurger圜ase Reports 11 (2015) 117-120Ĭontents lists available at ScienceDirect Malunited avulsion fracture of anterior inferior iliac spine can cause extra-articular femoroacetabular impingement. The patient was surgically treated in order to relieve symptoms and avoid osteoarthritis. This is the first case of hypertrophic malunion of avulsion fracture of anterior inferior iliac spine with femoroacetabular impingement that has been recognized in Qatar. This case report describes the condition of 17 year old male footballer who complained of pain in the right groin for duration of 2 years after being involved in forceful sport activity. Al Ateeq Al DosariĪvulsion fractures of the anterior inferior iliac spine are uncommon and such injuries are caused by the sudden forceful contraction of the straight head of rectus femoris muscle while the hip is hyperextended and the knee is flexed. Abdullah, Syed Imran Ghouri, Yousef Abuodeh, Mohammed M. Abstract of research paper on Clinical medicine, author of scientific article - Ghalib Ahmed Alhaneedi, Abdullah Saad A.