Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding
Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To da...
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Veröffentlicht in: | Journal of pediatric orthopaedics 1993-07, Vol.13 (4), p.516-520 |
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creator | Raney, Ellen M Ogden, John A Grogan, Dennis P |
description | Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likely hood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral “sclerosis” along the greater trochanteric physis. |
doi_str_mv | 10.1097/01241398-199307000-00018 |
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Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likely hood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral “sclerosis” along the greater trochanteric physis.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199307000-00018</identifier><identifier>PMID: 8179649</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Epiphyses - diagnostic imaging ; Epiphyses - pathology ; Female ; Femoral Fractures - diagnostic imaging ; Femoral Fractures - pathology ; Femoral Fractures - surgery ; Femur Head - diagnostic imaging ; Femur Head - pathology ; Femur Neck - diagnostic imaging ; Femur Neck - pathology ; Fracture Fixation, Internal - methods ; Fracture Healing - physiology ; Fractures, Closed - diagnostic imaging ; Fractures, Closed - pathology ; Fractures, Closed - surgery ; Humans ; Leg Length Inequality - diagnostic imaging ; Leg Length Inequality - pathology ; Male ; Medical sciences ; Orthopedic surgery ; Osteoarthritis, Hip - diagnostic imaging ; Osteoarthritis, Hip - pathology ; Osteogenesis - physiology ; Postoperative Complications - diagnostic imaging ; Postoperative Complications - pathology ; Radiography ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><ispartof>Journal of pediatric orthopaedics, 1993-07, Vol.13 (4), p.516-520</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1993 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3848-701e93890facd791f897a522246b005535d5826e6d575b40476155977e9e55603</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23930,23931,25140,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4768976$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8179649$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raney, Ellen M</creatorcontrib><creatorcontrib>Ogden, John A</creatorcontrib><creatorcontrib>Grogan, Dennis P</creatorcontrib><title>Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likely hood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral “sclerosis” along the greater trochanteric physis.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Epiphyses - diagnostic imaging</subject><subject>Epiphyses - pathology</subject><subject>Female</subject><subject>Femoral Fractures - diagnostic imaging</subject><subject>Femoral Fractures - pathology</subject><subject>Femoral Fractures - surgery</subject><subject>Femur Head - diagnostic imaging</subject><subject>Femur Head - pathology</subject><subject>Femur Neck - diagnostic imaging</subject><subject>Femur Neck - pathology</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Healing - physiology</subject><subject>Fractures, Closed - diagnostic imaging</subject><subject>Fractures, Closed - pathology</subject><subject>Fractures, Closed - surgery</subject><subject>Humans</subject><subject>Leg Length Inequality - diagnostic imaging</subject><subject>Leg Length Inequality - pathology</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Orthopedic surgery</subject><subject>Osteoarthritis, Hip - diagnostic imaging</subject><subject>Osteoarthritis, Hip - pathology</subject><subject>Osteogenesis - physiology</subject><subject>Postoperative Complications - diagnostic imaging</subject><subject>Postoperative Complications - pathology</subject><subject>Radiography</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1993</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PxCAQQInR6PrxE0x6MN6qUKDA0RhXTUw0uh48EZZObbUtFdps9t-Lbt2bBwJh3gwzD4QSgi8IVuISk4wRqmRKlKJYYIzTuIjcQTPCqUozLvAumuFMkDQXSh6gwxA-IiEoo_toXxKhcqZm6O3JQ2uG0UNy68EM4JOFd7YyXTzWNrnp675ah9oVEOqQvIB1XWH8Ohlcct8N3rRQjE3zczOH1nnTJM-uKOru_RjtlaYJcDLtR-h1frO4vksfHm_vr68eUkslk6nABBSVCpfGFkKRUipheJZlLF9izDnlBZdZDnnBBV8yzEROOFdCgALOc0yP0Pmmbu_d1whh0G0dLMSeOnBj0IIrJiTJIig3oPUuBA-l7n3dxs41wfrHqv6zqrdW9a_VmHo6vTEu48DbxEljjJ9NcROsaUpvOluHLRZ7jlPlEWMbbOWaqDd8NuMKvK7ANEOl__tT-g1JS44v</recordid><startdate>199307</startdate><enddate>199307</enddate><creator>Raney, Ellen M</creator><creator>Ogden, John A</creator><creator>Grogan, Dennis P</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199307</creationdate><title>Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding</title><author>Raney, Ellen M ; Ogden, John A ; Grogan, Dennis P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3848-701e93890facd791f897a522246b005535d5826e6d575b40476155977e9e55603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1993</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Epiphyses - diagnostic imaging</topic><topic>Epiphyses - pathology</topic><topic>Female</topic><topic>Femoral Fractures - diagnostic imaging</topic><topic>Femoral Fractures - pathology</topic><topic>Femoral Fractures - surgery</topic><topic>Femur Head - diagnostic imaging</topic><topic>Femur Head - pathology</topic><topic>Femur Neck - diagnostic imaging</topic><topic>Femur Neck - pathology</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Healing - physiology</topic><topic>Fractures, Closed - diagnostic imaging</topic><topic>Fractures, Closed - pathology</topic><topic>Fractures, Closed - surgery</topic><topic>Humans</topic><topic>Leg Length Inequality - diagnostic imaging</topic><topic>Leg Length Inequality - pathology</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Orthopedic surgery</topic><topic>Osteoarthritis, Hip - diagnostic imaging</topic><topic>Osteoarthritis, Hip - pathology</topic><topic>Osteogenesis - physiology</topic><topic>Postoperative Complications - diagnostic imaging</topic><topic>Postoperative Complications - pathology</topic><topic>Radiography</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Raney, Ellen M</creatorcontrib><creatorcontrib>Ogden, John A</creatorcontrib><creatorcontrib>Grogan, Dennis P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raney, Ellen M</au><au>Ogden, John A</au><au>Grogan, Dennis P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1993-07</date><risdate>1993</risdate><volume>13</volume><issue>4</issue><spage>516</spage><epage>520</epage><pages>516-520</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>Five skeletally immature patients developed premature closure of the greater trochanteric physis consequent to placement of an intramedullary rod for primary treatment of a femoral diaphyseal fracture. Each patient developed increased femoral neck valgus as compared with the contralateral hip. To date, however, none of these patients has had any functional disability, although one has developed mild radiographic subluxation. In addition, anatomic specimens demonstrated the likely hood of traversing a portion of the greater trochanteric physis. Other methods of fracture treatment, either operative or nonoperative, should be considered in skeletally immature patients who have not entered the final phase of skeletal maturation characterized by subchondral “sclerosis” along the greater trochanteric physis.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>8179649</pmid><doi>10.1097/01241398-199307000-00018</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Biological and medical sciences Child Epiphyses - diagnostic imaging Epiphyses - pathology Female Femoral Fractures - diagnostic imaging Femoral Fractures - pathology Femoral Fractures - surgery Femur Head - diagnostic imaging Femur Head - pathology Femur Neck - diagnostic imaging Femur Neck - pathology Fracture Fixation, Internal - methods Fracture Healing - physiology Fractures, Closed - diagnostic imaging Fractures, Closed - pathology Fractures, Closed - surgery Humans Leg Length Inequality - diagnostic imaging Leg Length Inequality - pathology Male Medical sciences Orthopedic surgery Osteoarthritis, Hip - diagnostic imaging Osteoarthritis, Hip - pathology Osteogenesis - physiology Postoperative Complications - diagnostic imaging Postoperative Complications - pathology Radiography Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
title | Premature Greater Trochanteric Epiphysiodesis Secondary to Intramedullary Femoral Rodding |
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