How Do You Diagnose Anterior Superior Iliac Spine Avulsion?
An avulsion fracture is a tearing or forcible separation of a fragment of bone from the main mass as a result of physical trauma. The anterior superior iliac spine is a common site for avulsion fractures because it is the attachment for the inguinal ligament and sartorius muscle and is subjected to a great deal of stress. Here’s how to diagnose avulsion fractures of the anterior superior iliac spine. Obtain the patient history. Adolescent athletes are especially vulnerable to avulsion fractures of the pelvis because of the relative weakness of the apophysis. The fast, explosive motions of the legs required in football, hurdling, jumping and sprinting give these sports a high risk for avulsion fractures of the anterior superior iliac spine. Observe the most common onset to be a sudden burst of pain in the hip at the end of a sprint. The patient also may be limping at the time of presentation. Have the patient perform provocative maneuvers. An avulsion fracture of the anterior superior i
