Tuesday, July 27, 2010

Pelvic Avulsion Fractures

Avulsion fractures can occur at many points in the pelvis. Going clockwise from the iliac crest to the pubic symphysis on the left we have:
  • Iliac crest: Abdominal muscles
  • Anterior superior iliac crest: Sartorius
  • Anterior inferior iliac crest: Rectus femoris
  • Greater trochanter: Gluteal muscles
  • Lesser trochanter: Iliopsoas. Isolated nontraumatic avulsion fractures of the lesser trochanter in adults is a pathognomonic sign of metastatic disease.
  • Ischial tuberosity: Hamstrings
  • Pubic symphysis: Adductor group
A stupid mnemonic is: Alabama's stoned rappers got ill hunting armadillos.

References

Bui-Mansfield LT, Chew FS, Lenchik L, Kline MJ, Boles CA. Nontraumatic avulsions of the pelvis. AJR Am J Roentgenol. 2002 Feb;178(2):423-7.

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