http://www.fpnotebook.com/
Apophyseal Injury
Aka: Apophyseal Injury, Apophysitis, Apophyseal Fracture, Traction Apophysitis
- Definitions
- Apophysis
- Secondary ossification sites for tendon insertions
- Apophysitis
- Apophyseal inflammation prior to growth plate closure
- Pathophysiology
- Bone grows faster than muscle and tendon during growth spurt in adolescents
- Results in a physiologic inflexibility at the apophyses
- Epidemiology
- Apophysitis is seen most commonly in young athletes
- Pelvis is the most common site of Apophyseal Fracture
- Causes: Sites of Apophyseal Injury: General
- Elbow at medial epicondyle: Little Leaguer's Elbow
- Knee: Osgood-Schlatter Disease
- Heel: Sever's Disease
- Causes: Sites of Apophyseal Injury: Pelvis
- Anterior Superior Iliac Spine
- Sartorius tendon insertion
- Anterior Iliac Spine
- Rectus Femoris tendon insertion
- Ischial tuberosity
- Hamstring tendon insertion
- Iliac Crest
- Transverse abdominis insertion
- External oblique insertion
- Internal oblique tendon insertion