Journal of pediatric orthopedics
-
Fractures of the anterior superior iliac spine (ASIS) in adolescents are usually due to avulsion of the sartorius origin from the ASIS; however, the authors here report a second type due to avulsion of the tensor fascia lata origin. Eight patients were identified with ASIS avulsion fractures. Type II sartorius avulsion fracture was due to sprinting in various sports (n = 6). ⋯ Type II tensor fascia lata avulsion fractures were due to swinging a baseball bat. The two muscular males were both injured during the initial phase of batting. The bony fragment was much larger and displaced laterally as confirmed by three-dimensional computed tomography scans.
-
The purpose of this study was to determine the role of magnetic resonance imaging (MRI) in the evaluation of children with suspected cervical spine injury (CSI). The authors studied 237 consecutive children, 74 of whom were evaluated by MRI based on a trauma protocol of the authors' institution. ⋯ MRI confirmed the plain radiography diagnosis in 66% of children and altered the diagnosis in 34%. MRI is valuable in the evaluation of potential CSI, especially in obtunded children or children with equivocal plain radiographs.