{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T11:47:32Z","timestamp":1785412052236,"version":"3.56.0"},"reference-count":19,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction<\/jats:p>\n                  <jats:p>Ischial tuberosity apophyseal avulsion fractures (ITAFs) are rare injuries occurring primarily in adolescent males. ITAFs are typically caused by a strong eccentric hamstring contraction that avulses the ischial apophysis before it is fully fused. However, there is currently no consensus on its therapeutic paradigm.<\/jats:p>\n                  <jats:p>Case Presentation<\/jats:p>\n                  <jats:p>A 13-year-old male presented with posterior thigh pain after a twisting injury. On exam, he had ischial tenderness, limited hip flexion, and lower extremity paresthesias. Imaging revealed a proximally displaced ischial tuberosity apophyseal avulsion fracture.<\/jats:p>\n                  <jats:p>Management and Outcomes<\/jats:p>\n                  <jats:p>He underwent open reduction and hybrid fixation with suture anchors and a cannulated screw, and sciatic nerve neurolysis. Postoperatively, neurologic symptoms resolved, and he resumed full activity within five months.<\/jats:p>\n                  <jats:p>Conclusion<\/jats:p>\n                  <jats:p>This case demonstrates the successful and novel use of hybrid fixation for a displaced ITAF with neurologic symptoms. Hybrid fixation provides a stable repair, enabling a safe and timely return to sports for adolescents.<\/jats:p>","DOI":"10.52965\/001c.144084","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T14:45:32Z","timestamp":1757947532000},"source":"Crossref","is-referenced-by-count":0,"title":["Hybrid fixation and sciatic neurolysis of an ischial tuberosity avulsion fracture with neurologic symptoms: a case report"],"prefix":"10.52965","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-6686-8736","authenticated-orcid":true,"given":"Ben M.","family":"Setaro","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/0153tk833","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Virginia","department":["School of Medicine"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6972-9914","authenticated-orcid":false,"given":"Dominic M.","family":"Farronato","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00wn7d965","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Virginia Health System","department":["Division of Sports Medicine, Department of Orthopaedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7940-1349","authenticated-orcid":false,"given":"Richard F.","family":"Nauert","sequence":"additional","affiliation":[{"name":"TSAOG Orthopedics and Spine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5697-4985","authenticated-orcid":false,"given":"Bryce N.","family":"Clinger","sequence":"additional","affiliation":[{"name":"Providence Orthopedics and Sports Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6355-3794","authenticated-orcid":false,"given":"Charles A.","family":"Su","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00wn7d965","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Virginia Health System","department":["Division of Sports Medicine, Department of Orthopaedic Surgery"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"30777","published-online":{"date-parts":[[2025,9,15]]},"reference":[{"issue":"4","key":"ref1","first-page":"254","article-title":"A new evaluation system for early and successful conservative treatment for acute ischial tuberosity avulsion","volume":"16","author":"M. 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