My son just fractured his anterior superior iliac spine swinging a baseball bat. CT Scan measures about 10-12 mm displacement. Local consensus is that it’s non-surgical. Is there any indication for surgery for high school baseball player?
What endpoint would there be for return to play and swinging a bat? Can I expect to get a bony union or will this be a fibrotic union that you treat clinically? We obviously want to get back to sport as soon as possible but also don’t want to reinjure things and create a long-term difficult problem . Any advice would be appreciated thank you
Post by Rachel Henderson, MD on Mar 2, 2018 15:47:25 GMT -6
Hi. Thanks for your question. I cannot give you a definitive answer without a full history, exam and review of imaging, but it seems that your son is being treated appropriately. If displacement is <3cm, the vast majority of these can be treated non-surgically with full recovery. Most fractures will form a bony union though some have a fibrotic union. Once your son is pain-free with walking and non-tender, he can begin easing back to jogging and light hitting. A physical therapist can help him regain range of motion, strength and correct any underlying biomechanical issues. It may take 4-8 weeks before he is back at 100% and ready for full return to sport. The key is to keep the area pain-free during the rehabilitation process. I would follow up with your local physician for evaluation and they can help guide his return to full activity.