Pelvic Avulsion Fractures In Children


Pelvic Avulsion Fractures In Children (Discharge Care) Care Guide

  • A pelvic avulsion fracture (FRAK-chur) occurs when a piece of pelvic (hip) bone breaks and tears away. This happens when a tendon or ligament connected to the hip bone tightens so hard it pulls off part of the bone. Pelvic avulsion fractures are usually caused by playing sports that need quick running starts and quick stopping. Football players, hurdlers, sprinters, long-jumpers, gymnasts, and cheerleaders are more prone to have a pelvic avulsion fracture.

  • Your child may have a sudden pain or feel a pop in his hip or groin. The groin is the area where his abdomen (belly) meets his upper leg. Your child may also have trouble moving his hip and leg or trouble sitting or walking.

  • Tests to diagnose a pelvic avulsion fracture may include hip x-rays or a bone scan. A magnetic resonance imaging (MRI) or a computerized tomography (CT) scan may also be done. Treatment will depend on how severe your child's fracture is. Sometimes only rest and exercises are needed to heal the fracture. Surgery may be needed for fractures that are severe or do not heal with other treatments. Ask your caregiver for more information about these tests and treatment.



  • Keep a current list of your child's medicines: Include the amounts, and when, how, and why they are taken. Bring the list and the medicines in their containers to follow-up visits. Carry your child's medicine list with you in case of an emergency. Throw away old medicine lists. Give vitamins, herbs, or food supplements only as directed.

  • Give your child's medicine as directed: Call your child's primary healthcare provider if you think the medicine is not working as expected. Tell him if your child is allergic to any medicine. Ask before you change or stop giving your child his medicines.

  • Do not give aspirin to children under 18 years of age: Your child could develop Reye syndrome if he takes aspirin. Reye syndrome can cause life-threatening brain and liver damage. Check your child's medicine labels for aspirin, salicylates, or oil of wintergreen.

  • Ibuprofen or acetaminophen: These medicines are given to decrease your child's pain and fever. They can be bought without a doctor's order. Ask how much medicine is safe to give your child, and how often to give it.

Ask for more information about where and when to take your child for follow-up visits:

For continuing care, treatments, or home services for your child, ask for information.


  • Your child may need more rest than he realizes while he heals. Quiet play will keep your child safely busy so he does not become restless and risk injuring himself. Have your child read or draw quietly. Follow instructions for how much rest your child should get while he heals.

  • Apply ice: Put an ice pack on your child's injured hip to decrease inflammation (swelling, pain, and redness). An ice pack may be made by putting crushed ice in a plastic bag and covering it with a towel. Do not let your child sleep on the ice pack because he can get frostbite.

  • Physical therapy: Caregivers may want your child to have physical therapy. A physical therapist will help him with special exercises. These exercises will help make your child's bones and muscles stronger.

  • Walking: Your child may need to use crutches, a cane, or a walker. This may help your child get around, and decrease stress on his hips. It is important that your child use his crutches, cane, or walker correctly. Ask caregivers for more information about how to choose and use crutches, a cane, or a walker.

For support and more information:

Having a child with pelvic avulsion fracture may be life-changing for you and your family. Accepting that your child has a pelvic avulsion fracture may be hard. You may contact the following for more information:

  • American Academy of Orthopaedic Surgeons
    6300 North River Road
    Rosemont , IL 60018-4262
    Phone: 1- 847 - 823-7186
    Web Address:


  • Your child has a fever.

  • Your child has new symptoms.

  • Your child's pain or swelling increase.

  • You have questions or concerns about your child's injury, surgery, or medicine.


  • Your child has increased swelling, pain, or redness in his hip.

  • Your child has trouble moving his leg or foot.

  • Your child's leg feels numb.

© 2013 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

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