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What is an anterior iliac spine avulsion?



An avulsion fracture is an injury to the bone in a place where a tendon or ligament attaches to the bone. In the anterior iliac spine which is part of the pelvis the common sites of avulsion fractures are at the attachment of:
  • Sartorius muscle to the anterior superior iliac spine
  • Rectus femoris to the anterior inferior iliac spine
In an avulsion fracture of the anterior iliac spine occurs, the sartorius muscle or the rectoris muscle (muscles in the front of the thigh) pulls off a piece of the bone in the anterior iliac spine where the thigh muscles attach. This commonly occurs in young athletes through the developing growth plate causing pain and swelling.


Balance and co-ordination  exercises supervised by a paediatric physiotherapistAbove: Balance and co-ordination exercises supervised by a paediatric physiotherapist



What causes an anterior iliac spine avulsion?



An anterior iliac spine avulsion is caused by sudden and forceful contraction of the sartorius and rectus femoris while the subject is engaged in a sporting event such as kicking a ball, running or jumping. Forceful extension at the hip can also lead to an avulsion injury.


Diagnosis of an anterior iliac spine avulsion



Diagnosis of an anterior iliac spine avulsion can be made following a detailed patient history, physical examination and x-ray.


Strengthening and mobilisations exercises for the hip and kneeAbove: Strengthening and mobilisations exercises for the hip and knee



What are the symptoms of an anterior iliac spine avulsion


Physiotherapy for an anterior iliac spine avulsion



An anterior iliac spine avulsion is commonly treated conservatively. Physiotherapy treatment should be commenced as soon as possible following your childs injury for the best possible recovery.

At Physio.co.uk our paediatric physiotherapists will improve your childs confidence and gradually improve their mobility following an avulsion fracture. Our paediatric physiotherapists are experienced at assessing and treating avulsion fractures in children and young adults. Physiotherapy treatment at Physio.co.uk will: Your childs rehabilitation program will be suited to their needs and lifestyle. Physiotherapy treatment will enhance your childs recovery and get them back to the activities they enjoy as soon as possible. Physiotherapy treatment for an avulsion of the anterior iliac spine may involve:


Stability and toning exercises supervised by a paediatric physiotherapistAbove: Stability and toning exercises supervised by a paediatric physiotherapist



For more information to see if your child would benefit from physiotherapy or to book an appointment please call 0330 088 7800, or book online today!