Treatment of Avulsion Fracture of Proximal Rectus Femoris with Suture Anchor

Jin Wan Kim; Youn Soo Hwang; Kyu Pill Moon; Kyung Taek Kim; Joon Yeon Song; Min Soo Kang

doi:10.5763/kjsm.2016.34.1.83

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Kim, Hwang, Moon, Kim, Song, and Kang: Treatment of Avulsion Fracture of Proximal Rectus Femoris with Suture Anchor

Case Report

Korean J Sports Med 2016;34(1):83-86.

Published online: 19 January 2016

DOI: https://doi.org/10.5763/kjsm.2016.34.1.83

Treatment of Avulsion Fracture of Proximal Rectus Femoris with Suture Anchor

Jin Wan Kim¹, Youn Soo Hwang¹, Kyu Pill Moon¹, Kyung Taek Kim¹, Joon Yeon Song¹, Min Soo Kang²

¹Department of Orthopaedic Surgery, Dong-Eui Medical Center, Busan, Korea

²Department of Orthopaedic Surgery, Barun Hospital, Jinju, Korea

Correspondence: Youn Soo Hwang Department of Orthopaedic Surgery, Dong-Eui Medical Center, 62 Yangjeong-ro, Busanjin-gu, Busan 47227, Korea Tel: +82-51-850-8937, Fax: +82-51-850-8943 E-mail: hangulum@hanmail.net

Received 2 March 2016 Revised 18 May 2016 Accepted 27 May 2016

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Avulsion injuries of the anterior inferior iliac spine, which is the origin of the rectus femoris muscle, are sometimes reported in children and adolescents, but acute avulsion injuries with complete rupture of the rectus femoris are very rare in adults. We treated a case of avulsion fracture of the anterior inferior iliac spine with suture anchors in an adult and achieved a favorable outcome. Thus, we report the case with a review of literature.

Keywords: Anterior inferior iliac spine, Avulsion, Suture anchor

REFERENCES

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Fig. 1.

Simple AP radiograph shows an avulsed bone fragment displaced inferiorly from the right anterior inferior iliac spine (arrow).

Fig. 2.

T2-weighted coronal magnetic resonance image shows complete avulsion of the direct head of the right rectus femoris muscle (arrow) and severe edematous change (arrow heads).

Fig. 3.

During the operation, the detached bone fragment from the anterior inferior iliac spine is seen between the tensor fasciae latae and the sartorius, with the rectus femoris distally displaced by 2.5 cm (arrow).

Fig. 4.

The displaced fragment was reduced with two suture anchors through the modified Kessler technique (arrow).

Fig. 5.

Simple AP radiograph checked 4 months after the operation shows a healed avulsed bony fragment without inferior displacement (arrow).

Fig. 6.

T2-weighted coronal magnetic resonance image checked 4 months after the operation shows anatomical restoration of the direct head of the right rectus femoris muscle (arrow).

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