Avulsion fractures of the pelvis and hip region are typical injuries in adolescent athletes. Avulsion sites include the muscle tendon origin or insertion, and treating these injuries surgically or conservatively remains a debated issue. The main goals of this review were to assess and summarize injury types and sites, treatment-related clinical outcomes, and return to sport for adolescent patients with a pelvis avulsion fracture and to provide support for making treatment decisions. The PubMed database was searched in November 2021 to identify all published articles from 2000 to 2021 that reported the outcome and return to sport after conservative or surgical treatment. Eighteen studies with 453 patients were included in this review. The age range was 13.6–16.8 years. The most common injury site the was anterior superior iliac spine (37%), followed by the anterior inferior iliac spine (31%), ischial tuberosity (14%), lesser trochanter (9%), iliac crest (8%), and superior corner of the pubic symphysis (1%). Overall complications were lower in the surgical group compared to the conservative group. The rate of return to pre-injury activity level was greater in patients who underwent surgical treatment (p < 0.05). In conclusion, surgery is preferred for major dislocation and fragment size, providing a better return-to-sport rate and decreasing the risk of complications.

骨盆和髋部撕脱性骨折是青少年运动员的典型损伤。撕脱部位包括肌腱起源或插入，手术或保守治疗这些损伤仍然是一个有争议的问题。本综述的主要目的是评估和总结骨盆撕脱性骨折青少年患者的损伤类型和部位、治疗相关的临床结果以及重返运动场，并为做出治疗决策提供支持。PubMed 数据库于 2021 年 11 月进行了搜索，以识别 2000 年至 2021 年所有发表的文章，这些文章报告了结果并在保守或手术治疗后重返运动。本综述纳入了 18 项研究，共 453 名患者。年龄范围为 13.6-16.8 岁。最常见的损伤部位是髂前上棘（37%），其次是髂前下棘（31%）、坐骨结节（14%）、小转子（9%）、髂嵴（8%）和耻骨联合上角（1%）。与保守组相比，手术组的总体并发症较低。接受手术治疗的患者恢复到受伤前活动水平的比率更高（p< 0.05)。总之，对于主要脱位和碎片大小，手术是首选，可提供更好的运动恢复率并降低并发症的风险。