Abstract

Paediatric hip pain in young athletes can be a diagnostic challenge for clinicians. The anatomy of the paediatric pelvis and surrounding structures varies considerably to that of an adult and therefore is predisposed to different types of injuries which can lead to future deformities if not managed appropriately.

Highlights

  • In the young athlete, injuries to the hip and pelvis are increasingly being recognised [1]

  • The anatomy of the paediatric pelvis differs considerably to that of an adult; given the greater malleable structure and joint elasticity, more displacement can occur allowing for single fractures within the pelvic ring [3]

  • In 2 weeks there was persistent pain an MRI was requested to assess the injury further shown in figure 6; which illustrated the fracture through the triradiate cartilage

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Summary

Introduction

Injuries to the hip and pelvis are increasingly being recognised [1]. A 16-year-old male, first presented after 3 months of on-going pain in the left hip following a heavy fall diving playing soccer, landing onto his left buttock. His pain progressed to left pelvic and groin pain. At six weeks a repeat MRI performed to assess the healing process, shown in figure 4 At this stage the patient was pain free with good range of movement in hip examination and a gradual weight bearing and rehabilitation program developed with full training resumed at a further 3 months. In 2 weeks there was persistent pain an MRI was requested to assess the injury further shown in figure 6; which illustrated the fracture through the triradiate cartilage. The patient continued to improve, was pain free and range of movements improving on examination

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