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Childs Nerv Syst. 2009 Aug;25(8):1039-41. doi: 10.1007/s00381-009-0876-9. Epub 2009 Mar 27.

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

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1
Department of Pediatric Orthopedics, Armand Trousseau Children's Hospital, Université Pierre et Marie Curie-Paris6, 26, avenue du Docteur Arnold Netter, F-75571 Paris Cedex 12, France.

Abstract

INTRODUCTION:

Traumatic transepiphyseal separation of the upper femoral epiphysis is a rare lesion of the hip in children.

CASE REPORT:

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.

DISCUSSION:

Because of the remodeling potential in young children, we assume not to perform additional reduction procedures in such traumatic lesions.

PMID:
19326124
DOI:
10.1007/s00381-009-0876-9
[Indexed for MEDLINE]
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