Trochanteric Fractures in Young Children.
| Autor: | Harding RJ; From the Department of Trauma and Orthopaediatrics, University Hospital of Wales, Cardiff, United Kingdom., Moideen AN, Carpenter EC, Thomas DP, Hemmadi S |
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| Jazyk: | angličtina |
| Zdroj: | Pediatric emergency care [Pediatr Emerg Care] 2019 May; Vol. 35 (5), pp. e84-e85. |
| DOI: | 10.1097/PEC.0000000000001825 |
| Abstrakt: | Background: Isolated avulsion fractures of the greater and lesser trochanter are usually seen in adolescents prior to the fusion of the apophysis. Greater trochanter fractures in adults have a high incidence of intertrochanteric extension and lesser trochanter fractures are regarded as a pathognomonic sign of metastatic disease. These fractures are very rare among children. Methods: We report five cases of trochanteric fractures in children of less than two years of age three of which were unrecognized initially in the accident and emergency department. Results: Early and complete recovery ensued following immobilization and symptomatic treatment. Surgical intervention was not required. Conclusions: There needs to be a high index of suspicion to diagnose these fractures in children and plain radiographs need to be carefully examined when assessing a limping child. Our experience shows when correctly diagnosed these injuries can be treated successfully with supportive treatment and no need for surgical intervention. Level of Evidence: IV Case series. |
| Databáze: | MEDLINE |
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