Description
This presentation is given by Neil Segeren, a specialized pediatric and young adult hip surgeon at Stanmore. It focuses on the topic of avulsion fractures of the hip and pelvis. In a light-hearted opening, the speaker reflects that his task of discussing this complex subject for only ten minutes might actually turn out to be easier than expected.
Throughout the talk, he strategically uses case studies to illustrate the real-life implications of these injuries. He discusses various avulsion fractures, featuring examples such as a 15-year-old boy who experiences significant complications following a misdiagnosed hamstring avulsion, and a gymnast who faces persistent issues due to an overlooked anterior inferior iliac spine fracture.
Segeren emphasizes the importance of differentiating between simple avulsion injuries and those that require more aggressive management to avoid complications such as chronic pain, nonunion, or functional limitations. He stresses that understanding the displacement of these fractures is crucial in determining appropriate treatment. In particular, he highlights a threshold of 5 mm displacement, beyond which the risks of unsuccessful conservative management increase significantly.
The talk concludes by urging practitioners to be vigilant in identifying high-risk avulsion fractures in young athletes and consider surgical interventions in cases where significant displacement is noted to improve outcomes and facilitate a quicker return to sports.