Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report

Rare consecutive femoral lesser trochanteric avulsion in an adolescent following sporting activities; a case report

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Avulsion of the lesser trochanter is a rare but disturbing condition, which usually occurs in males between the ages of 7-16 years with significant physical activities or in athletes.Diagnosis is more often than not challenging, but with a good history, physical examination, and imaging modality, diagnosis can be clinched, and the prognosis is good even with a conservative management approach.This case report is that of a 12-year-old male who suddenly fell while participating in sporting activities in school.

As a consequence of the fall, he felt severe pain in the left groin region with an Fruit Spread associated inability to bear weight on the affected limb.A radiograph study of the hip revealed a fracture of the left lesser trochanter.Based on the diagnosis, a conservative approach, which entails the use of analgesics, and partial weight-bearing mobilization with axillary crutches to take the weight off the affected limb for a period, was the Bags - Emesis Bags choice of management for this subject.

Fifteen weeks following the conservative management for the avulsion of the left femoral lesser trochanter fracture, the subject sustained a similar injury to the contralateral groin, consequential to return to sporting activities.In conclusion, rare as avulsion of the lesser trochanter may be, a high index of suspicion must be raised in any adolescent with a painful limp following engagement in any sporting activities, and such individuals should have a radiograph study done to achieve prompt and effective care.