1/22. Iatrogenic subcapital fracture of the hip: a new complication of intertrochanteric fractures.A recently recognized complication of intertrochanteric fracture is a subcapital fracture occurring at the tip of the blade of an intertrochanteric fracture fixation blade plate. Histological examination reveals that this is not a fatigue fracture but is the result of stress concentration effects of a stiff metalic device. This fracture may be prevented by using a blade plate with a long blade which is well seated in the head, and by removing the metallic device as soon as it is safe to do so. Ultimate prevention lies in using a more compatible material for the internal fixation of fractures.- - - - - - - - - - ranking = 1keywords = capital (Clic here for more details about this article) |
2/22. Stress fractures of the femoral neck in child with open capital femoral epiphysis.Stress fracture of the femoral neck has been considered a typical injury of two age groups: active youths and elderly people with osteoporosis. Its occurrence in children with an open capital femoral epiphysis is rare, and only 11 cases have been reported. Here we report two cases, in a 12-year-old boy and a 5-year-old girl (among the youngest patients on record). This fracture can be classified as a compression fracture or a tension fracture. Although tension fractures are not uncommon in military recruits and young athletes, all 13 cases (including our two cases) of femoral neck stress fracture associated with an open capital epiphysis were compression fractures that were treated conservatively.- - - - - - - - - - ranking = 32.071274905744keywords = femoral epiphysis, capital femoral epiphysis, epiphysis, capital (Clic here for more details about this article) |
3/22. Slipped capital femoral epiphysis in dogs.In a retrospective review of 43 femoral fractures, three dogs had separation of the femoral capital epiphysis from the metaphysis in the absence of trauma. Two of these dogs also had evidence of pathology in the contralateral femoral neck including, in one dog, displacement of the capital epiphysis in relation to the metaphysis without actual separation. The case histories, radiographic features and histopathological findings of these cases were reviewed and compared with previous cases of slipped capital femoral epiphysis (SCFE) reported in dogs and also with SCFE in children. Pre-slip, acute, chronic and acute-on-chronic slips were Identified. Based on the cases reviewed, the authors advise internal fixation of stable slipped epiphyses in dogs. This may also be appropriate for unstable separations, although resorption of the femoral neck may preclude stable fixation and necessitate femoral head and neck excision.- - - - - - - - - - ranking = 32.48801756944keywords = femoral epiphysis, capital femoral epiphysis, epiphysis, capital (Clic here for more details about this article) |
4/22. Concomitant physeal fractures of the distal femur and proximal tibia.Concomitant physeal fractures of the distal femur and proximal tibia are very rare in children and adolescents. They are included in the classification of the "floating knee" injuries. Two cases with this combined injury are reported. They were closed injuries and in both patients the fracture of the proximal tibial epiphyseal plate was nondisplaced. In the first, a six-year-old girl, an early diagnosis was made radiographically. The intra-articular femoral fracture was operatively reduced and fixed. No growth abnormality was encountered 12 years later. The second patient, a 16-year-old boy, was conservatively treated for a displaced fracture-separation of the distal femoral epiphysis. Four weeks later there was physeal widening on both sides of the knee which indicated an associated fracture of the proximal tibial epiphyseal plate. One year after injury there was a varus deformity of the knee that was treated with a corrective osteotomy. Ten years later there is normal alignment of the leg.- - - - - - - - - - ranking = 3.7258123541233keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
5/22. Acute hip pain in the nonambulatory infant: Salter-Harris type I fracture in the capital femoral epiphysis without a traumatic history.An otherwise healthy 11-month-old girl was brought to the hospital after her parents noted the acute onset of right hip pain and refusal to bear weight. No abnormalities were seen in the initial radiographs, laboratory values were within reference range, and noninvasive workup was negative for septic arthritis. The parents reported a recent minor fall from a standing position, but stated that the child seemed to return to normal without pain after a few minutes of crying. A hemarthrosis without purulence was found upon joint aspiration, and the patient improved significantly after administration of anti-inflammatory medication. Follow-up radiographs 13 days after initial presentation showed an extremely rare Salter-Harris type I proximal physeal fracture well into the healing process.- - - - - - - - - - ranking = 25.323625793638keywords = femoral epiphysis, capital femoral epiphysis, epiphysis, capital (Clic here for more details about this article) |
6/22. Hip arthroplasty in quiescent mycobacterial infection of hip.Three patients underwent hip arthroplasty--one total hip replacement and two, Thompson's hemiarthroplasty. The diagnosis was degenerative joint disease and subcapital fracture of the femur, respectively. Histologic and bacteriologic examination revealed mycobacterial infection. None of the patients had a past history of mycobacterial infection. In one instance, there was a reactivation of the infection eight months following surgery, which was treated successfully by antituberculosis drugs.- - - - - - - - - - ranking = 0.2keywords = capital (Clic here for more details about this article) |
7/22. Salter-Harris type II stress fracture in a young athlete. A case report.A Salter-Harris type II stress fracture of the distal femoral epiphysis is reported in a skeletally immature athlete.- - - - - - - - - - ranking = 3.7258123541233keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
8/22. Traumatic separation of the proximal femoral epiphysis and fracture of the mid-shaft of the ipsilateral femur in a child. A case report and review of the literature.A case is described of traumatic separation of the proximal femoral epiphysis associated with a fracture of the mid-shaft of the same femur in a two-year-old girl. The rarity of this injury is emphasized and its treatment outlined. No similar reports could be found, and the relevant literature is reviewed.- - - - - - - - - - ranking = 18.629061770617keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
9/22. Spontaneous correction of angulational deformity of the proximal femoral epiphysis after cervical and trochanteric fracture.This case report of a 5-year-old girl describes a severely comminuted fracture of the cervical and trochanteric areas of the left proximal femur which required open reduction and internal fixation for stable realignment. At 7 months follow-up, angulational deformity was recognized due to partial growth arrest leading to valgus tilt of the proximal femoral epiphysis. After persisting 1 year, gradual spontaneous improvement occurred leading to total realignment with a normally wide growth plate at 36 months following injury. It is hypothesized that the valgus deviation of the femoral head, by causing a medial shift of the weight bearing axis, led to relative unloading of the lateral margin of the growth plate. It is suggested that this mechanical element contributed to the spontaneous release of the epiphyseal tether.- - - - - - - - - - ranking = 18.629061770617keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
10/22. Apparent or true neonatal hip dislocation? Radiologic differential diagnosis.A case of neonatal separation of the proximal femoral epiphysis secondary to obstetric trauma is presented. The radiologic differential diagnosis, as in other cases of neonatal dislocation of the hip, included congenital and septic dislocation of the hip and epiphyseal separation - so-called apparent dislocation. When clinical and laboratory signs are minimal or equivocal, x-ray films and, in difficult cases, contrast arthrograms are needed for an accurate diagnosis of neonatal dislocation of the hip.- - - - - - - - - - ranking = 3.7258123541233keywords = femoral epiphysis, epiphysis (Clic here for more details about this article) |
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