Apophyseal injuries of the pelvis have increased recently with increased participation of teenagers in contact sports. Apophyseal fractures of the pelvis should be ruled out from apophysitis, os acetabuli and bony tumors. We report a case of fracture of anterior-inferior iliac spine following indirect injury to the hip in a young football player. The patient failed to get better with nonoperative management and continued to have pain in the left hip and signs and symptoms of impingement. He improved following surgical excision of the heterotopic bone and did not have any evidence of recurrence at 2 years follow- up.
Adolescent ; Athletic Injuries ; diagnostic imaging ; surgery ; Femoracetabular Impingement ; diagnostic imaging ; surgery ; Follow-Up Studies ; Football ; injuries ; Fracture Fixation ; adverse effects ; methods ; Fractures, Malunited ; diagnostic imaging ; surgery ; Humans ; Ilium ; diagnostic imaging ; injuries ; surgery ; Male ; Osteotomy ; methods ; Risk Assessment ; Spinal Fractures ; diagnostic imaging ; surgery ; Tomography, X-Ray Computed ; methods ; Treatment Outcome

Breakage of surgical instruments and implants during operative procedures is not uncommon in any surgical discipline. The need for removal and the outcome of leaving the broken instruments and implants in the surgical area have not been described in detail. Few studies have suggested removal if they are lying loosely in the tissues or joint, close to neurovascular structures. Challenges and the amount of time spent in the retrieval of broken instruments and implants are well known among surgeons, so most choose to leave them in situ. We reported a novel method of retrieval of a broken drill bit in the femoral medullary canal during internal fixation of a type C distal femoral fracture.
Femoral Fractures ; surgery ; Fracture Fixation, Internal ; Humans