Surgical treatment for acute ischial tuberosity avulsion fracture A case report

Rationale: Ischial tuberosity avulsion fracture ( ITAF) is a very rare sports injury, and there is currently no consensus on its diagnosis and treatment. Although conservative treatment is adequate for most patients, those with large displacement of the fracture need surgical management. Patient concerns: A 13-year-old male athlete experienced tearing pain in the right hip during a sprint. Radiographic examination showed an avulsion fracture of the right ischial tuberosity. Diagnosis: Right ITAF. Interventions: On the 3rd day of injury, the patient was treated with open reduction and internal fixation of ITAF under general anesthesia. Outcomes: The patient received a systematic postoperative exercise in 2 weeks, and the fracture healed 4 weeks later. After 8 months, the patient returned to the field to participate in the competition. Lessons: Early surgical treatment can bring about good results in the treatment of ITAF with large displacement. The longitudinal incision and subgluteal approach is an ideal choice for the operative procedure.