Patientenfrage
I’m looking for some advice regarding a possible nonunion of an ischial tuberosity avulsion fracture.
I’m 17 years old and injured myself during a powerlifting competition approximately 6 months ago, while deadlifting 180 kg. However, I had experienced some symptoms before the competition: I woke up with mild pain for no apparent reason, and later, during a sprint in school PE, I felt something tighten and become painful, to the point that walking and running were limited. During the competition deadlift, I felt a pop followed by severe pain in my left glute/upper hamstring area. An MRI performed about 3 weeks after the injury showed a left ischial tuberosity avulsion fracture (apophyseal avulsion). According to the radiology report, the fragment was displaced laterally by approximately half the width of the bone. The report also mentioned a hematoma measuring approximately 6.4 × 1.5 cm, swelling of the quadratus femoris muscle, and mild swelling of the obturator externus. I was treated conservatively, without surgery. Although my symptoms and function have improved overall, I’m now approximately 6 months post-injury and still experience discomfort and occasional pain during deadlifts and sometimes in daily life. Squats have generally become more comfortable, and I can train with weights again, but deadlifting still doesn’t feel normal, particularly as the load increases. I’m concerned that the fracture may not have united properly, especially given the displacement described on the MRI and the persistent symptoms after 6 months. I understand that recovery times vary, but I’m unsure whether this degree of ongoing discomfort can still be part of normal recovery or whether it could indicate delayed union or nonunion. * Is persistent discomfort 6 months after this type of injury concerning for nonunion, or can it occur despite normal healing?
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