OCAD MSK

History

14 y/o tackled from the side after blocking a field goal in American football

Figure 1 for case Avulsion fracture of the adductor magnus insertion — Figure 1

Figure 2 for case Avulsion fracture of the adductor magnus insertion — Figure 2

Figure 3 for case Avulsion fracture of the adductor magnus insertion — Figure 3

Figure 4 for case Avulsion fracture of the adductor magnus insertion — Figure 4

Figure 5 for case Avulsion fracture of the adductor magnus insertion — Figure 5

Discussion

The adductor magnus insertion is avulsed and there is fluid within the physis consistent with a SH injury (probable type 2 although its a bit tough to say whether the fragment was metaphyseal or epiphyseal). There was also subperiosteal blood laterally. Orthopedist saw an ossicle on plain films. Alignment good and no ACL or meniscus so he will be put in a brace and treated conservatively. Father asked if he could play in 3 weeks. I said nope.

Diagnosis

Avulsion fracture of the adductor magnus insertion

Phillip Tirman, MD

Courtesy

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