Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report
Avulsion of the lesser trochanter is a rare but disturbing condition, which usually occurs in males between the ages of 7-16 years with significant physical activities or in athletes. Diagnosis is more often than not challenging, but with a good history, physical examination, and imaging modality, d...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043322009554 |
| _version_ | 1797980703392006144 |
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| author | John Ifeanyi Ubimago, MBBS(Jos) Meraiyebu Aminyene Essien, MBBS(IUO) Kingsley Iyoko Iseko, MBBS(Ib),FWACS Omachoko Emmanuel Oguche, MBBS(Zaria),FWACS(Ortho)FMC(Ortho) Nkechi Gift Inyang, BSc Radiography(UNICAL) Kalma Pembari Sabiya, B.Sc. Radiography(UNIMAID) |
| author_facet | John Ifeanyi Ubimago, MBBS(Jos) Meraiyebu Aminyene Essien, MBBS(IUO) Kingsley Iyoko Iseko, MBBS(Ib),FWACS Omachoko Emmanuel Oguche, MBBS(Zaria),FWACS(Ortho)FMC(Ortho) Nkechi Gift Inyang, BSc Radiography(UNICAL) Kalma Pembari Sabiya, B.Sc. Radiography(UNIMAID) |
| author_sort | John Ifeanyi Ubimago, MBBS(Jos) |
| collection | DOAJ |
| description | Avulsion of the lesser trochanter is a rare but disturbing condition, which usually occurs in males between the ages of 7-16 years with significant physical activities or in athletes. Diagnosis is more often than not challenging, but with a good history, physical examination, and imaging modality, diagnosis can be clinched, and the prognosis is good even with a conservative management approach. This case report is that of a 12-year-old male who suddenly fell while participating in sporting activities in school. As a consequence of the fall, he felt severe pain in the left groin region with an associated inability to bear weight on the affected limb. A radiograph study of the hip revealed a fracture of the left lesser trochanter. Based on the diagnosis, a conservative approach, which entails the use of analgesics, and partial weight-bearing mobilization with axillary crutches to take the weight off the affected limb for a period, was the choice of management for this subject. Fifteen weeks following the conservative management for the avulsion of the left femoral lesser trochanter fracture, the subject sustained a similar injury to the contralateral groin, consequential to return to sporting activities. In conclusion, rare as avulsion of the lesser trochanter may be, a high index of suspicion must be raised in any adolescent with a painful limp following engagement in any sporting activities, and such individuals should have a radiograph study done to achieve prompt and effective care. |
| first_indexed | 2024-04-11T05:57:53Z |
| format | Article |
| id | doaj.art-c72089f7788c465090b9dcc393fb940d |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-04-11T05:57:53Z |
| publishDate | 2023-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-c72089f7788c465090b9dcc393fb940d2022-12-22T04:41:50ZengElsevierRadiology Case Reports1930-04332023-02-01182572576Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case reportJohn Ifeanyi Ubimago, MBBS(Jos)0Meraiyebu Aminyene Essien, MBBS(IUO)1Kingsley Iyoko Iseko, MBBS(Ib),FWACS2Omachoko Emmanuel Oguche, MBBS(Zaria),FWACS(Ortho)FMC(Ortho)3Nkechi Gift Inyang, BSc Radiography(UNICAL)4Kalma Pembari Sabiya, B.Sc. Radiography(UNIMAID)5Department of Family Medicine, Limi Hospital, Abuja, NigeriaDepartment of Family Medicine, Limi Hospital, Abuja, Nigeria; Department of Radiology, Limi Hospital, Abuja; Department of Orthopedics, University of Abuja Teaching Hospital, NigeriaCorresponding author.; Department of Family Medicine, Limi Hospital, Abuja, Nigeria; Department of Radiology, Limi Hospital, Abuja; Department of Orthopedics, University of Abuja Teaching Hospital, NigeriaDepartment of Orthopedics, University of Abuja Teaching Hospital, NigeriaDepartment of Family Medicine, Limi Hospital, Abuja, Nigeria; Department of Radiology, Limi Hospital, Abuja; Department of Orthopedics, University of Abuja Teaching Hospital, NigeriaDepartment of Family Medicine, Limi Hospital, Abuja, Nigeria; Department of Radiology, Limi Hospital, Abuja; Department of Orthopedics, University of Abuja Teaching Hospital, NigeriaAvulsion of the lesser trochanter is a rare but disturbing condition, which usually occurs in males between the ages of 7-16 years with significant physical activities or in athletes. Diagnosis is more often than not challenging, but with a good history, physical examination, and imaging modality, diagnosis can be clinched, and the prognosis is good even with a conservative management approach. This case report is that of a 12-year-old male who suddenly fell while participating in sporting activities in school. As a consequence of the fall, he felt severe pain in the left groin region with an associated inability to bear weight on the affected limb. A radiograph study of the hip revealed a fracture of the left lesser trochanter. Based on the diagnosis, a conservative approach, which entails the use of analgesics, and partial weight-bearing mobilization with axillary crutches to take the weight off the affected limb for a period, was the choice of management for this subject. Fifteen weeks following the conservative management for the avulsion of the left femoral lesser trochanter fracture, the subject sustained a similar injury to the contralateral groin, consequential to return to sporting activities. In conclusion, rare as avulsion of the lesser trochanter may be, a high index of suspicion must be raised in any adolescent with a painful limp following engagement in any sporting activities, and such individuals should have a radiograph study done to achieve prompt and effective care.http://www.sciencedirect.com/science/article/pii/S1930043322009554AvulsionLesserTrochanterFemurAdolescentConservative |
| spellingShingle | John Ifeanyi Ubimago, MBBS(Jos) Meraiyebu Aminyene Essien, MBBS(IUO) Kingsley Iyoko Iseko, MBBS(Ib),FWACS Omachoko Emmanuel Oguche, MBBS(Zaria),FWACS(Ortho)FMC(Ortho) Nkechi Gift Inyang, BSc Radiography(UNICAL) Kalma Pembari Sabiya, B.Sc. Radiography(UNIMAID) Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report Radiology Case Reports Avulsion Lesser Trochanter Femur Adolescent Conservative |
| title | Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report |
| title_full | Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report |
| title_fullStr | Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report |
| title_full_unstemmed | Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report |
| title_short | Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report |
| title_sort | rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities a case report |
| topic | Avulsion Lesser Trochanter Femur Adolescent Conservative |
| url | http://www.sciencedirect.com/science/article/pii/S1930043322009554 |
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