Isolated lesser trochanter avulsion fracture in an adolescent footballer: successful conservative management

Abstract

A lesser trochanter avulsion fracture is an injury that typically occurs in young athletes due to sudden muscle contractions and high-load mechanical stress. These fractures result from the abrupt contraction of the iliopsoas muscle and share similar characteristics with apophyseal injuries. Although rare, they hold clinical significance due to uncertainties in the treatment process and the presence of various treatment options. This case report discusses the conservative treatment process of an adolescent football player who sustained a lesser trochanter avulsion fracture while playing football. The patient presented with complaints of acute hip and groin pain. Diagnostic evaluations confirmed the presence of an avulsion fracture. During the conservative treatment process, the patient was regularly monitored for four months, and by the 18th week, a complete clinical resolution was achieved. These treatment results support the effectiveness of conservative treatment methods for isolated lesser trochanter fractures. However, in some cases, surgical intervention may be necessary, and it is important to personalize the treatment process for each patient. This case report demonstrates that a conservative approach to the treatment of lesser trochanter avulsion fractures can yield successful results, while also emphasizing that each patient's condition is unique, and the treatment plan should be tailored accordingly.