Pelvic Apophysitis ICD-10
Pelvic Apophysitis ICD-9
- 732.9 Unspecified osteochondropathy Apophysitis
Pelvic Apophysitis Etiology / Epidemiology / Natural History
- Overuse use injury at insertion sites of major abdominal and hips muscles around the pelvis (ASIS, ischial tuberosity) in children and adolescents.
- More common in distance runners, dancers, hockey, football
Pelvic Apophysitis Anatomy
Pelvic Apophysitis Clinical Evaluation
- Dull, activity-related pain.
Pelvic Apophysitis Xray / Diagnositc Tests
- A/P pelvis, A/P and lateral of affected hip: generally normal or demonstrate widening of the affected apophysis.
Pelvic Apophysitis Classification / Treatment
- Rule out Ischial Tuberosity Avulsion Fracture.
- NSAIDs, ice, activity modifications with gradual return to sport with lateral abdominal and hip abduction exercises after symptoms have resolved, generally 4 weeks.
Pelvic Apophysitis Associated Injuries / Differential Diagnosis
Pelvic Apophysitis Follow-up Care
- Begin lateral abdominal and hip abduction exercises after symptoms have resolved.
- Gradually return to sports when asymptomatic, generally 4-8 weeks.
Pelvic Apophysitis Review References
- Frank JB, JAAOS 2007;15:2356
- Outerbridge AR, Clin Sports Med 1995;14:503