Abstract

Anterior superior iliac spine (ASIS) avulsion fractures are uncommon injuries, primarily affecting adolescent athletes during sudden, forceful physical activity. Traditional diagnosis relies on radiography, though small bony fragments can be missed. We report a case of a 15-year-old female presenting with acute left groin pain following a rapid directional change while playing “kho-kho”. Physical examination showed localized tenderness, and estricted hip movement. Pelvic X-ray unfortunately skipped the diagnosis when the Point-of-care ultrasound (POCUS) performed in the emergency department revealed a hyperechoic apophyseal fragment displaced from the ASIS, suggesting an avulsion injury. Given minimal displacement, the patient was managed conservatively. This case highlights the value of POCUS in Indian emergency settings where quick decision making and limited imaging facilities make bedside diagnosis essential

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