An avulsion fracture occurs when an injury causes a ligament or tendon to break off (avulse) a small piece of a bone that's attached to it. The ligament or tendon also may be damaged.
This type of injury can happen in the hip, ankle, knee, heel, elbow, or pelvis.
An avulsion fracture may be caused by direct force, such as a hard tackle in football. Indirect force-such as a sudden turn in soccer or basketball-also can cause it. It can be caused by any activity that involves kicking, jumping, or having to speed up or slow down very quickly.
You may feel a pop and sudden pain when the fracture occurs.
X-rays are usually used to diagnose a fracture.
Small fractures are usually treated with ice and rest. You may need a splint or a cast. These fractures rarely cause any problems, such as pain or discomfort, after the injury heals.
You may need surgery if the bone fragment is large and widely separated from the rest of the bone. Surgery may also be done if a tendon or ligament is badly detached.
You can return to sports or other physical activities after about 6 weeks to 6 months. How long it takes to recover depends on where the injury is, how serious it is, and how it is treated. It also depends on how quickly you have full range of motion without pain.
Other Works ConsultedYen YM, Kocher MS (2015). Pediatric and adolescent hip injuries. In MD Miller et al., eds., DeLee and Drez's Orthopaedic Sports Medicine, 4th ed., pp. 1627-1628. Philadelphia: Saunders.
ByHealthwise StaffPrimary Medical ReviewerAdam Husney, MD - Family MedicineMartin J. Gabica, MD - Family MedicineSpecialist Medical ReviewerWilliam H. Blahd, Jr., MD, FACEP - Emergency Medicine
Current as ofMarch 20, 2017
Current as of:
March 20, 2017
Adam Husney, MD - Family Medicine & Martin J. Gabica, MD - Family Medicine & William H. Blahd, Jr., MD, FACEP - Emergency Medicine
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Last modified on: 8 September 2017