Findings and Management of the Rare Caput Flexum Deformity of the Hip: A Case Report
| Autor: | S. Fickert, Reinhold Ganz, M. Leunig |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Premature Closure business.industry medicine.medical_treatment Coxa vara Osteotomy Occult Surgery medicine.anatomical_structure Epiphysis Skiing Open wedge medicine Deformity Humans Orthopedics and Sports Medicine Female Hip Joint medicine.symptom business Child Femoral neck Hip Injuries |
| Zdroj: | JBJS case connector. 9(3) |
| ISSN: | 2160-3251 |
| Popis: | CASE A 10-year-old girl presented after possible occult hip trauma, with shortening of the leg being the initial clinical symptom, followed by motion-dependent pain. She had limited external rotation in extension with anterior apprehension. Radiographically, the deformity was an anterior tilt of the epiphysis with coxa vara. Surgery included surgical dislocation using a retinacular flap for the anterior open wedge femoral neck osteotomy for extension and posterior translation, with an excellent 4.5-year clinical outcome. CONCLUSIONS Caput flexum is a rare deformity with localized premature closure of the anterior growth plate of the hip. To avoid secondary impingement, an osteotomy was successfully placed close to the deformity. |
| Databáze: | OpenAIRE |
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