Fractures of the trochanteric region in children and young adolescents-a treatment algorithm for a rare injury
| Autor: | Monika Luxl, Ellen Payr, Stephan Payr, Thomas M. Tiefenboeck, Manuela Jaindl, Elisabeth Schwendenwein, Britta Chocholka |
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| Rok vydání: | 2020 |
| Předmět: |
Trochanteric fractures
Male medicine.medical_specialty Adolescent Bone pathology Young adolescents 03 medical and health sciences Fracture Fixation Internal 0302 clinical medicine Postoperative Complications medicine Treatment algorithm Humans Femur Child Children 030222 orthopedics Proximal femur business.industry Hip Fractures 030208 emergency & critical care medicine Mean age medicine.disease musculoskeletal system Surgery Adolescence Treatment Outcome Harris Hip Score Child Preschool Pediatrics Perinatology and Child Health Female Original Article business After treatment Algorithms Pediatric trauma |
| Zdroj: | European Journal of Pediatrics |
| ISSN: | 1432-1076 |
| Popis: | For femoral fractures of the trochanteric region in children and adolescents, only two mechanisms have been identified to cause a fracture of the proximal femur: high-energy trauma or predisposing bone pathologies with inadequate trauma (e.g., simple fall, movement). We identified 20 patients between 1993 and 2018 with a trochanteric fracture under the age of 18 (12 males; 8 females; mean age, 12 years; range, 4–17 years) who were treated operatively at our department. The mean follow-up of all patients was 50.06 months. All 20 patients were treated operatively. Complications occurred after a mean time of 6.27 months (range, 0.47 to 12.07 months) in two patients. Harris Hip Score was evaluated in all patients with a mean score of 94.16 (range 11 to 100). Eighty-five percent of the patients reached an excellent clinical outcome after treatment.Trochanteric femoral fractures in children and adolescents are very rare accounting for only 1% of all trochanteric fractures. Excellent long-term results can be achieved with an adequate fracture reduction.Conclusion: Physicians treating pediatric trauma have to be aware of other predisponding diseases when low-energy trauma leads to a trochanteric fracture as in this study, 50% of the trochanteric fractures were associated with bone pathologies.What is Known:• Trochanteric femoral fractures in children and adolescents are very rare• In all patients with trochanteric femoral fractures, malignancies have to be ruled outWhat is New:• Awareness of an underlying bone pathology in a high number of cases• Awareness for necessity of a good fracture reduction leading to highly satisfactory results |
| Databáze: | OpenAIRE |
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