Avulsion fracture of the anterior inferior iliac spine with abundant reactive ossification in the soft tissue

Jeffrey M. Resnick, C. Humberto Carrasco, Jack Edeiken, Alan W. Yasko, Jae Y. Ro, Alberto G. Ayala

Research output: Contribution to journalArticle

32 Scopus citations

Abstract

Patients who have sustained an avulsion fracture and present clinically during the healing phase of the injury may manifest a mass that clinically and radiographically mimics a malignant neoplasm. A 15-year-old male soccer goalkeeper presented with a large ossified mass in the soft tissues overlying the right hip 6 months after experiencing a popping sensation in his hip joint during a game. Although an osteosarcoma was suspected clinically and radiographically, a Tru-Cut needle biopsy of the lesion revealed reactive bone formation. Correlation of the clinical, radiographic, and pathologic findings indicated an avulsion fracture of the anterior inferior iliac spine with abundant reactive ossification in the soft tissues. The healing phase of an avulsion fracture may clinically and radiographically be mistaken for neoplasia. In such cases, a Tru-Cut needle biopsy may reveal the reactive nature of the process.

Original languageEnglish (US)
Pages (from-to)580-584
Number of pages5
JournalSkeletal Radiology
Volume25
Issue number6
DOIs
StatePublished - 1996

Keywords

  • Anterior inferior iliac spine
  • Avulsion fracture
  • Reactive ossification
  • Tru-Cut needle biopsy

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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