Apophyseal Injuries in Adolescents
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Questions and Answers

Apophyseal injuries commonly occur in adults because the tendons are stronger than the secondary ossification centres.

False (B)

Avulsion fractures only occur in adolescents and not in children or adults.

False (B)

The lesser trochanter avulsion in an adult typically indicates a musculoskeletal injury.

False (B)

The ischial tuberosity is associated with the hamstrings muscle.

<p>True (A)</p> Signup and view all the answers

Avulsion fractures of the pelvis occur specifically at secondary ossification centres.

<p>True (A)</p> Signup and view all the answers

Flashcards

Avulsion Fracture

A break in a bone where a tendon or ligament pulls a piece of bone away.

Apophyseal Injury

A break in the secondary ossification center of a bone, occurring at the growth plate.

ASIS (Anterior Superior Iliac Spine)

The bony attachment point at the front of the iliac crest. The Sartorius muscle originates here.

Lesser Trochanter

The bony attachment point at the top of the femur (thigh bone), where the Iliopsoas muscle connects.

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Lesser Trochanter Avulsion in Adults

An avulsion fracture of the lesser trochanter in an adult is often a sign of a cancerous tumor, not a normal injury.

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Study Notes

Apophyseal Injuries (Avulsion Fractures)

  • Common in adolescents due to stronger tendons compared to developing secondary ossification centres.
  • Occur specifically in the unfused skeleton.
  • Other avulsion fractures happen in children and adults, but those in the table are in secondary ossification centres around the pelvis.
  • Lesser trochanter avulsion in adults suggests a possible metastasis, not a musculoskeletal injury.

Apophyseal Injury Locations and Associated Muscles

  • ASIS (Anterior Superior Iliac Spine): Sartorius muscle
  • AIIS (Anterior Inferior Iliac Spine): Rectus femoris (straight head)
  • Pubic ramus: Adductors and gracilis muscles
  • Lesser trochanter: Iliopsoas muscle
  • Ischial tuberosity: Hamstring muscles

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Description

Explore the common types of apophyseal injuries, particularly avulsion fractures that occur in adolescents. This quiz highlights the muscle associations and injury locations relevant to these fractures, focusing on their occurrence in the unfused skeleton and secondary ossification centres. Test your knowledge and understanding of these specific musculoskeletal injuries.

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