Avulsion Fractures/Sports Groin Pain

Question 1

Avulsion fracture of the AIIS is d/t what force?

Answer 1

Eccentric contraction of the rectus femoris;
Treat with rest and ice; hip flexed for 2 weeks (position lessens stretch of affected muscle and apophysis) follow with guarded weight bearing for 4 week

Question 2

Avulsion fracture of the ASIS is d/t what force?

Answer 2

Eccentric contraction of the tensor fascia lata or sartorious; treat with rest, protected weight bearing with crutches and ROM

Question 3

Anterior groin pain in a soccer/rugby player can be d/t what entity?

Answer 3

Osteitis pubis (Inflammation of the pubic symphysis caused by repetitive trauma)
May see osteolytic pubis with bony erosions and often times diastasis of the symphysis

Question 4

What is the supposed mechanism of injury of athletic pubalgia (sports hernia)?

Answer 4

abdominal hyperextension and thigh abduction

Question 5

Sports that rely heavily on which of the following movements are felt to contribute to the overuse syndrome known as athletic pubalgia?

Answer 5

Hip extension and abduction