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An ischial apophysis avulsion
An ischial apophysis avulsion is an injury to the ischial tuberosity (sitting bone) in a place where the hamstring or adductor magnus (groin) attaches to the bone. In an avulsion of the ischial tuberosity, sudden contraction of the hamstrings or adductor magnus anterior pulls off a piece of the sitting bone. This causes pain and swelling and usually occurs in young athletes between 13 and 25 years.
Above: Passive stretches and mobilisations of the hip and pelvisWhat causes an ischial apophysis avulsion?
The cause of an ischial apophysis avulsion is sudden tension or pull on the hamstring muscle or adductor magnus while the person is engaged in a sporting event such as sprinting, long jumping or hurdling.
Diagnosis of an ischial apophysis avulsion
An ischial apophysis avulsion can be made diagnosed following a detailed patient history, physical examination and x-ray.
Above: Mobility rehabilitation exercises supervised by a paediatric physiotherapistWhat are the symptoms of an ischial apophysis avulsion?
- Pain aggravated by stretching the thigh,
- Swelling
- Muscle spasm and weakness
Physiotherapy for an ischial apophysis avulsion
Physiotherapy treatment following an ischial apophysis avulsion will enhance your recovery by reducing pain and swelling and restoring muscle strength and flexibility as soon as possible. Physiotherapy treatment should be commenced as soon as possible following your injury in order for you to make long term improvements.
At Physio.co.uk, our paediatric physiotherapists are experienced at treating children and young adults with avulsion injuries. Physiotherapy treatment at Physio.co.uk will facilitate healing and enhance your child's function and mobility so they can get back to the activities they enjoy quicker. Physiotherapy treatment at Physio.co.uk will:
- Reduce pain and swelling
- Restore muscles strength and flexibility
- Restore confidence and independence with movement and sporting activities
- Get them back to a level they were previously
Physiotherapy treatment for an ischial apophysis avulsion may involve:
- Massage and ultrasound to promote healing and reduce muscle tension
- Gait training on crutches
- Stretching to increase range of movement and relieve stiffness
- Active and passive range of movement exercises will be gradually introduce to strengthen the leg muscles.
- Core stability activities to improve trunk stability and mobility
- Exercises based around sports/hobbies to facilitate their return to these activities
- Hydrotherapy
