Abstract: Traumatic avulsion injuries of the abdominal wall musculature from the iliac crest are extremely rare. We report the case of a 28-year-old male who sustained a near- complete avulsion of the abdominal muscles from the left iliac crest following a motor vehicle accident. Diagnosis was confirmed by computed tomography (CT), and the patient underwent successful surgical reattachment using suture anchors. To our knowledge, very few cases with a similar mechanism and surgical approach have been described. This case highlights the importance of prompt recognition and the role of early surgical repair in selected patients.