Figure. Radiography of the pelvis showing 2 bone fragments displaced from the anterior superior iliac spines (red arrows).
[Ann Emerg Med. 2016;68:639.] A 16-year-old male adolescent presented with severe groin pain and inability to bear weight. On admission, he reported that in the course of a 100-m sprint race, he felt abrupt bilateral groin pain and was unable to stand. On examination, no inguinal bruising or swelling was noted. Palpation of iliac crests and movement of the hips provoked severe pain. Radiography was performed (Figure).
For the diagnosis and teaching points, see page 648. To view the entire collection of Images in Emergency Medicine, visit www.annemergmed.com Volume 68, no. 5 : November 2016