Erica Giles1, Shasta Henderson1, Andrea Halim1, Brian G Smith1, Matthew D Milewski2. 1. Department of Orthopaedics and Rehabilitation, Yale University School of Medicine, New Haven, Connecticut. 2. Elite Sports Medicine/Connecticut Children's Medical Center, Farmington, Connecticut.
Abstract
CASE: We describe a case of an adolescent athlete who sustained a greater trochanteric avulsion fracture. After conservative management with abduction bracing, the patient made a full recovery, with no signs of osteonecrosis at 12 months. We describe the presentation, the course of recovery, and the literature regarding treatment and outcomes. CONCLUSION: Isolated fracture of the greater trochanteric apophysis is a rare but possibly devastating injury to the adolescent hip when complicated by osteonecrosis. We describe the successful conservative treatment of this injury in what we believe to be the second such report in the English-language literature.
CASE: We describe a case of an adolescent athlete who sustained a greater trochanteric avulsion fracture. After conservative management with abduction bracing, the patient made a full recovery, with no signs of osteonecrosis at 12 months. We describe the presentation, the course of recovery, and the literature regarding treatment and outcomes. CONCLUSION: Isolated fracture of the greater trochanteric apophysis is a rare but possibly devastating injury to the adolescent hip when complicated by osteonecrosis. We describe the successful conservative treatment of this injury in what we believe to be the second such report in the English-language literature.