Stress Fractures/ Avulsion Fractures
The Injury when a piece of pelvic (hip bones) breaks. This happens when a muscle contracts (tightens) so hard that it pulls off pieces of bone where the muscle and tendon connect to the bone.
Signs and Symptoms Sudden Pain Trouble moving Tender to palpation
Common places Iliac Spine: where the Sartorius connects to the pelvis where the rectus femoris muscle attaches to the front of the pelvis where the hamstring muscle group attaches to the ischial tuberosity
Causes Unexpected, explosive muscle contraction sports where you must start and stop running very quickly, such as football, soccer, and basketball. Weight lifting can also cause this injury. Common in adolescents whose epiphyseal plates are not completely closed
Who??? Common in adolescents More common in Women than men Track athletes, especially hurdlers jumping, sprinting, or playing soccer or football
Treatment Normally heal without surgery Keep weight off Sometimes insert rods or screws Goal is to get normal ROM back 1-3 months for pain to totally heal Needs 4-6 weeks of rest
Prevention and Precautions Stretching Exercises to stretch and strengthen your hip and back area Keep bones strong- eat right After injured may need a cane crutches or walker to keep weight off May also need screws rods or plates