{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:22:04Z","timestamp":1787754124199,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 16-year-old adolescent male triathlete presented with left iliac crest apophyseal avulsion fracture and later developed right iliac crest apophysitis. Both injuries were successfully managed conservatively, following a clearly delineated staged return to sport protocol and running progression over 4 months. Imaging modalities used included radiograph, magnetic resonance imaging, followed by ultrasound to assess healing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The present case highlights the complexity of management for an iliac crest apophysis avulsion fractures in an adolescent male triathlete, including a novel rehabilitation and return to sport protocol. At the 1-year follow-up, the patient remained pain-free with return to triathlons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00404","type":"journal-article","created":{"date-parts":[[2025,4,3]],"date-time":"2025-04-03T21:00:41Z","timestamp":1743714041000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Diagnosis and Staged Return to Sport of an Adolescent Triathlete with Bilateral Iliac Crest Apophyseal Injury"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8594-4300","authenticated-orcid":false,"given":"Ethan M.","family":"Sullivan","sequence":"first","affiliation":[{"name":"University of Miami Gordon Center for Simulation and Innovation in Medical Education, University of Miami Miller School of Medicine, Miami, Florida"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0490-6398","authenticated-orcid":false,"given":"Maggie J.","family":"Jones","sequence":"additional","affiliation":[{"name":"Boston Children\u2019s Hospital and Boston Medical Center, Harvard Medical School and Boston University School of Medicine, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1612-3852","authenticated-orcid":false,"given":"Kristin E.","family":"Whitney","sequence":"additional","affiliation":[{"name":"Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,4]]},"reference":[{"issue":"3","key":"bib1-20250403","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1177\/1941738109347976","article-title":"Orthopaedic magnetic resonance imaging challenge: apophyseal avulsions at the pelvis","volume":"2","author":"Kjellin","year":"2010","journal-title":"Sports Health."},{"issue":"3","key":"bib2-20250403","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/BPB.0000000000001029","article-title":"Apophyseal ilium avulsion fractures in young athletes: a systematic review and return to sport analysis","volume":"32","author":"Vadhera","year":"2023","journal-title":"J Pediatr Orthop B."},{"issue":"4","key":"bib3-20250403","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/BPO.0000000000002355","article-title":"Acute pelvic and hip apophyseal avulsion fractures in adolescents: a summary of 719 cases","volume":"43","author":"Ferraro","year":"2023","journal-title":"J Pediatr Orthop."},{"issue":"6","key":"bib4-20250403","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1097\/BPO.0000000000000328","article-title":"Pelvic apophyseal avulsion fractures: a retrospective review of 228 cases","volume":"35","author":"Schuett","year":"2015","journal-title":"J Pediatr Orthop."},{"issue":"4","key":"bib5-20250403","first-page":"470","article-title":"Apophyseal avulsion fractures of the pelvis. 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