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Wikimedia Commons has media related to Anterior superior iliac spine. (eds.), "Chapter 75 - Truncal Blocks: Intercostal, Paravertebral, Interpleural, Suprascapular, Ilioinguinal, and Iliohypogastric Nerve Blocks", Essentials of Pain Medicine and Regional Anesthesia (Second Edition), Philadelphia: Churchill Livingstone, pp. 636–644, doi: 10.1016/b978-1-1.50079-4, ISBN 978-1-1, retrieved ^ a b c Rea, Paul (), Rea, Paul (ed.), "Chapter 3 - Lower Limb Nerve Supply", Essential Clinically Applied Anatomy of the Peripheral Nervous System in the Limbs, Academic Press, pp. 101–177, doi: 10.1016/b978-0-12-803062-2.00003-6, ISBN 978-0-12-803062-2, retrieved.In theory, the transition area of the anterior inferior iliac spine (AIIS) and acetabulum could be used as the anterior entry point. small, only about 2 mm, whereas the anterior entry point has wide safety zone. (ed.), "Chapter 6 - Lower limb", Human Anatomy, Churchill Livingstone, pp. 135–179, doi: 10.1016/b978-3-5.50009-9, ISBN 978-3-5, retrieved The intersection of the superior edge line and the posterior edge line of the acetabulum was the optimal anterior entry point of S1. ^ a b c Chaitow, Leon DeLany, Judith (), Chaitow, Leon DeLany, Judith (eds.), "Chapter 11 - The pelvis", Clinical Application of Neuromuscular Techniques, Volume 2 (Second Edition), Oxford: Churchill Livingstone, pp. 299–389, doi: 10.1016/b978-5-7.00011-5, ISBN 978-5-7, retrieved.^ a b Chaitow, Leon DeLany, Judith (), Chaitow, Leon DeLany, Judith (eds.), "Chapter 12 - The hip", Clinical Application of Neuromuscular Techniques, Volume 2 (Second Edition), Oxford: Churchill Livingstone, pp. 391–445, doi: 10.1016/b978-5-7.00012-7, ISBN 978-5-7, retrieved.X-ray of the pelvis confirmed the findings and led to the diagnosis of ASIS avulsion fracture. POCUS of the right ilium demonstrated a hyperechoic structure anterolaterally displaced towards the ASIS, suggesting an ASIS avulsion fracture. A 14-year-old male patient visited our emergency department for groin pain he experienced during a game of baseball.

We reported herein a pediatric case of anterior superior iliac spine (ASIS) avulsion fracture detected by POCUS. X-ray is commonly used to diagnose PAF, but the use of point-of-care ultrasound (POCUS) for this purpose in pediatric emergency departments has yet to be published.

Pelvic avulsion fractures (PAFs) are common in adolescents. Ultrasonography, pelvic fracture, child, avulsion fracture Abstract Iliac Spines The anterior superior, anterior inferior, posterior superior, and posterior inferior, serve as points of attachment for the tendons of the muscles of the trunk, hip, and thighs. Tokyo Metropolitan Children's Medical Center Clinically, avulsion of the ASIS presents as a sudden and acute pain in relation to the ASIS occurring after a sudden movement. Superior border of the ilium, ending anteriorly in the blunt anterior superior iliac spine, and posteriorly in the posterior superior iliac spine.