Traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in a 5-month-old child: a case report

Springer Science and Business Media LLC - Tập 25 - Trang 1039-1041 - 2009
Kamal Aoudi1, Raphaël Vialle1, Camille Thevenin-Lemoine1, Kariman Abelin1, Pierre Mary1, Jean-Paul Damsin1
1Department of Pediatric Orthopedics, Armand Trousseau Children’s Hospital, Université Pierre et Marie Curie-Paris6, Paris Cedex 12, France

Tóm tắt

Traumatic transepiphyseal separation of the upper femoral epiphysis is a rare lesion of the hip in children. We report a case of conservative treatment of transepiphyseal separation of the upper femoral epiphysis following tonic/clonic seizures in a 5-month-old child. Magnetic resonance imaging confirmed the diagnosis The fracture was maintained with hip spica cast for 6 weeks. At the age of 2, complete healing of the lesion including femoral neck remodeling was noted on frontal and lateral radiographs. There was no radiological evidence of AVN or premature closure of the physis. He continues to be followed up. Because of the remodeling potential in young children, we assume not to perform additional reduction procedures in such traumatic lesions.

Tài liệu tham khảo

Murzic WJ, Taylor JK, Bargar WL (1993) Seizure-induced femur fracture after total hip replacement. Orthopedics 16:906–908 discussion 908-9