Pelvic Apophysitis M93.959 732.9

synonyms:

Pelvic Apophysitis ICD-10

• M93.951 - Osteochondropathy, unspecified, right thigh
• M93.952 - Osteochondropathy, unspecified, left thigh
• M93.959 - Osteochondropathy, unspecified, unspecified thigh

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

• see Hip 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

• Ischial Tuberosity Avulsion Fracture
• Pelvic Avulsion Fracture
• Snapping hip
• Spondylolysis
• Femoral Neck Stress Fracture
• Sports Hernia

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
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