1. By Ashley Knott and Sarah
Venjohn

3.  An avulsion fracture occurs when there is an injury
to the bone where there is a tendon or ligament
attaching to it.
 When the fracture occurs, the tendon or ligament
pull off the bone, making a fracture in the bone.
 An avulsion fracture (of the hip) most commonly
occurs in adolescents, most often athletes. The
most common athletes that experience avulsion
fractures are track participants, especially hurdlers
or sprinters.

4.  The person will experience severe pain and there
will be visible swelling in the area of the fracture.
 They will be unable to move that area of their body
without a great deal of pain.
 Avulsion Fractures can be diagnosed by taking an
x-ray, and the x-ray may show a broken bone
fragment.
 If they are unable to see the avulsion fracture on
an x-ray and ultrasound may be done.
 The best way to diagnose the severity and exact
area of the fracture is by taking an MRI.

5. Avulsion Fracture
Here you can see a piece of the bone
broken off but still attached to the muscle.

6.  When patients experience an avulsion fracture (of
the hip), it is described as a feeling of an
unexpected, explosive muscle contraction.
 This can also be described as a “kicking –out” of
the muscle at the end of a race for a runner if they
are experiencing an avulsion fracture.

7.  Common symptoms experiences with an Avulsion
Fracture:
◦ Sudden onset of hip pain, usually very sever, sharp and
painful.
◦ Occur with a sudden burst of intensity (for example, with
a final sprint of a race)
◦ Bruising may also occur along with swelling and pain
over the fractured area.
 Common signs of an Avulsion Fracture:
◦ Limp present during gait
◦ Tenderness to palpation
◦ Pain with passive and active muscle stretching

8. Avulsion Fracture
When an avulsion fracture occurs the
tendon or ligament pulls off a piece of the
bone.

9.  Cryotherapy
◦ Cold packs
◦ Ice massage
◦ Vapocoolant spray/gel
 Hydrotherapy
◦ Whirlpool tank
◦ Contrast bath
◦ Pools
 Sound agents
◦ Phonophoresis
◦ Ultrasound
 Thermotherapy
◦ Dry heat
◦ Hot packs
◦ Paraffin bath
 Electrical Stimulation
◦ Electrical muscle stimulation
(EMS)
◦ High voltage pulsed current
(HVPC)
◦ Neuromuscular electrical
stimulation (NMES)
◦ Transcutaneous electrical
nerve stimulation (TENS)

10.  Aerobic
capacity/endurance
conditioning and
reconditioning
 Balance, coordination
and agility training
 Body mechanics and
postural stabilization
 Flexibility exercises
 Gait and locomotion
training
 Relaxation
 Strength, power and
endurance exercises

11.  ADL training
 Devices and equipment
use and training
 Functional training
programs
 IADL’s ( Independent
activities of daily living)
training
 Injury prevention and/or
reduction
 Leisure and play
activities and training

12.  http://www.fpnotebook.com/ortho/hip/HpAvlsnFrctr
.htm
 AMA citation:
http://www2.liu.edu/cwis/cwp/library/workshop/cita
ma.htm