Hip Joint ; Humans ; Ischium/diagnostic imaging* ; Magnetic Resonance Imaging

In this report we analyse a case of ischiatic tuberosity avulsion. A 15-year-old patient who came to our first aid department two days after a football match accident was treated conservatively and examined at month 1-4, 6 and 12. In order to examine patient condition, a new index was formulated: the inability score index (ISI), which is based on hip range of motion and scales for rest, walking, running pain and compared to other parameters such as oedema area, fragment diastasis evaluated by X-ray and CT accordingly. ISI defines the inability as severe, moderate and mild. It guides the rehabilitative program in the right way. In this case, the patient was able to run softly after 35 days and to go back to the full agonist activity after 4 months. At the end of treatment the patient referred to the complete pain remission, full range of motion recovery and a good fracture consolidation. After 1 year we discuss about therapeutic strategies used and results obtained.
Adolescent ; Disability Evaluation ; Football ; injuries ; Fractures, Bone ; diagnostic imaging ; etiology ; physiopathology ; rehabilitation ; Humans ; Ischium ; injuries ; Male ; Pain Measurement ; Range of Motion, Articular ; physiology ; Running ; physiology ; Tomography, X-Ray Computed

OBJECTIVE: To estimate the chronological age of Han teenagers in Sichuan by the epiphyses development characteristics of iliac crest and ischial tuberosity in X-ray digital images. METHODS: According to TW2 classification principle, combining with the age range of our subjects and epiphyses development regularity, the degree of epiphyses development of iliac crest and ischial tuberosity had been divided into 8 grades (0-7) and 7 grades (0-6), respectively. Based on the degrees, the pelvic X-rays digital images of 691 samples of 16-20 aged teenagers were read and statistically analyzed by SPSS 19.0 software. The multiple linear regression equation was established by skeletal age (Y), development degree of iliac crest epiphyses (X1) and ischial tuberosity epiphyses (X2). RESULTS: There were no statistical differences between two sides of epiphyses development of iliac crest and ischial tuberosity (P>0.05). There were no statistical difference between genders (P>0.05). The re-substitution method of the samples showed that the accuracy of equation as Y=15.269+0.444X1+0.236 X2 was high. The result of the re-substitution method showed a high accuracy of the equation. CONCLUSION The multiple linear regression equation could be used to identify the skeletal age for providing the scientific basis to identify the 18-year-old Han population in Sichuan.
Adolescent ; Age Determination by Skeleton/methods* ; Age Factors ; Asian People/ethnology* ; Bone Development/physiology* ; China/ethnology* ; Epiphyses/diagnostic imaging* ; Female ; Forensic Anthropology/methods* ; Humans ; Ilium/diagnostic imaging* ; Ischium/diagnostic imaging* ; Linear Models ; Male ; Pelvis/diagnostic imaging* ; Tomography, X-Ray Computed ; Young Adult