Acute Onset Groin Pain in a Pre-Adolescent Boy- A Diagnostic Dilemma

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Atmananda Hegde
Prajwal Mane
Chetan Shetty
SAIPRASAD BALIGA

Abstract

Lesser trochanter avulsion fracture is a rare injury. It is most common in 7 to 16 years age group and needs to be considered as an important but a very rare differential diagnosis of acute onset groin or hip pain in this age group. Clinical findings would include difficulty in weight bearing, sitting cross legged and positive Ludloff sign. Although plain radiographs are enough for avulsion fracture diagnosis, computerized tomography will provide a better picture for surgical decisions. This case report describes a lesser trochanter avulsion fracture in a preadolescent patient, who had an excellent functional outcome following conservative management.

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Case Report