11/35. Apophyseal avulsion fracture of the greater trochanter after slipped capital femoral epiphysis: a case report.A 13-year-old boy sustained an avulsion fracture of the left greater trochanter eight months after surgical stabilisation of a slipped capital femoral epiphysis on the same side. In this specific case, avulsion of the greater trochanter after slipping of the capital femoral epiphysis may have been facilitated by weakening of the trochanteric physis.- - - - - - - - - - ranking = 1keywords = fracture (Clic here for more details about this article) |
12/35. Epiphysiolysis of the capitellum humeri.A four-year-old girl presents at the emergency department with left elbow pain after a fall. X-ray demonstrated an epiphysiolysis of the capitellum humeri, without a bony fragment, the so-called Salter Harris Type 1 fracture. The fracture was treated by open reduction and internal fixation. This case is unusual because avulsions of the capitellum are usually associated with a bony fracture.- - - - - - - - - - ranking = 0.6keywords = fracture (Clic here for more details about this article) |
13/35. Transphyseal fracture-separation of the femoral capital epiphysis: a true SCFE of traumatic origin.Acute traumatic transphyseal fracture of the capital femoral epiphysis is a rare but serious injury. The injury is typically inflicted by a severe trauma. Because of the vulnerability and predisposed anatomy of the femoral epiphysis in relation to its blood supply, the fracture has been designated to have poor prognosis with inevitable osteonecrosis and eventual deformity of the hip. We report a case of such fracture in a 13-year-old child in view to highlight some of the anticipated problems in the management of such injury.- - - - - - - - - - ranking = 1.4keywords = fracture (Clic here for more details about this article) |
14/35. Femoral neck fracture secondary to in situ pinning of slipped capital femoral epiphysis: a previously unreported complication.Two patients developed femoral neck fractures as a complication of in situ pinning for slipped capital femoral epiphysis (SCFE) by surgeons who each used a cannulated screw system. Both patients exhibited recurrent hip pain, femoral neck fracture, and coxa vara after asymptomatic postoperative intervals of 2 and 6 months, respectively. The fracture in one patient healed with weight relief alone: the other persisted, requiring a vascularized pedicle bone graft. Bone biopsy at surgery disclosed avascular necrosis (AVN). Based on preliminary studies of heat production during reaming, we speculate that these fractures developed through areas of AVN secondary to thermal injury.- - - - - - - - - - ranking = 273.96247680197keywords = femoral neck fracture, femoral neck, neck fracture, fracture, neck (Clic here for more details about this article) |
15/35. Acute-on-chronic bilateral reversed slipped capital femoral epiphysis managed by Imhauser-Weber osteotomy.In a rare case of progressive bilateral valgus-slipped capital femoral epiphysis, modified Imhauser-Weber osteotomies were carried out. The osteotomies allowed for significant varus correction and thus included shortening of the neck and distal transfer of the greater trochanter. The planning technique of the complex osteotomy is discussed. At 5-year follow-up the patient had a gratifying result.- - - - - - - - - - ranking = 0.00777811300918keywords = neck (Clic here for more details about this article) |
16/35. Slipped capital femoral epiphysis caused by an implant--a case report.A nine-year old boy sustained a traumatic fracture of the neck of left femur and was treated by closed reduction and cancellous screw fixation. Fourteen months later the tips of the screws were found to be at the epiphyseal plate and there was evidence of slip of the upper femoral epiphysis. The opposite hip was normal and no other abnormalities were detected. It is postulated that the slip was caused by the implant.- - - - - - - - - - ranking = 0.20777811300918keywords = fracture, neck (Clic here for more details about this article) |
17/35. slipped capital femoral epiphyses complicating renal osteodystrophy: a report of three cases.Three adolescents with bilateral slipped capital femoral epiphyses complicating renal disease are presented. In one case, the severity of the deformities necessitated total hip replacement. Pathological specimens were available for evaluation. In all 3 cases, epiphysiolysis was accompanied by severe subperiosteal reabsorption along the medial aspect of the femoral neck, widening of the cartilaginous growth plate, and coxa vara. The radiographic diagnosis of a minimally displaced femoral epiphysis may precede the clinical symptoms. Early recognition of this complication is important, since the treatment of choice is prophylactic surgical stabilization before disabling deformities occur.- - - - - - - - - - ranking = 20.968099961088keywords = femoral neck, neck (Clic here for more details about this article) |
18/35. Multiple fractures in early infancy: report of two unusual cases.Two cases of multiple fractures, one in a newborn with an unclassified bone dysplasia, another in an infant with recurrent fits of unknown etiology are reported. The second case is the youngest in the literature with bilateral slipped capital femoral epiphyses and bilateral femoral neck fractures, secondary to stress injury.- - - - - - - - - - ranking = 113.41251740873keywords = femoral neck fracture, femoral neck, neck fracture, fracture, neck (Clic here for more details about this article) |
19/35. Irreducible displacement of the distal radial epiphysis complicating a fracture of the lower radius and ulna.Open reduction of complete displacement of the distal radial epiphysis in an 11-year-old boy is reported. Difficulty was encountered in dealing with an associated radial diaphyseal fracture at a higher level, an open fracture of the distal ulna and an ulnar nerve injury. The rarity of this combination is discussed.- - - - - - - - - - ranking = 1.2keywords = fracture (Clic here for more details about this article) |
20/35. Base of the neck extracapsular osteotomy for correction of deformity in slipped capital femoral epiphysis.This is a report on a University of illinois Hospital series of cases of extracapsular base of the neck osteotomy for slipped capital femoral epiphyses. The osteotomy was performed on 20 hips in 16 patients, with a 71/2 year average follow-up. The results of this procedure are encouraging and illustrate the advantages of technical simplicity and minimal risk of avascular necrosis. The method does not create any additional deformity. The only disadvantage is that the correction could be limited. The maximum correction of posterior tilt was 55 degrees and the maximum correction of varus deformity was 50 degrees.- - - - - - - - - - ranking = 0.0388905650459keywords = neck (Clic here for more details about this article) |
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