Coxa Breva: Its Pathogenesis and a Rationale for Its Management

Forty-four patients (50 hips) with symptomatic coxa breva underwent surgical treatment consisting of arrest and/or transfer of the “overgrown” greater trochanter. In a retrospective review, the authors compared the patients who underwent apophyseodesis to those treated by trochanteric transfer. The...

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Veröffentlicht in:Journal of pediatric orthopaedics 1985-09, Vol.5 (5), p.515-521
Hauptverfasser: Stevens, Peter M, Coleman, Sherman S
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container_title Journal of pediatric orthopaedics
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creator Stevens, Peter M
Coleman, Sherman S
description Forty-four patients (50 hips) with symptomatic coxa breva underwent surgical treatment consisting of arrest and/or transfer of the “overgrown” greater trochanter. In a retrospective review, the authors compared the patients who underwent apophyseodesis to those treated by trochanteric transfer. The purpose was to clarify the indications for and results of each procedure.Patients ≤8 years of age benefited from apophyseodesis as a means of averting a Trendelenburg gait. Those patients presenting with an established Trendelenburg limp and those ≥9 years of age are best treated by distal and lateral transfer of the greater trochanter.
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source MEDLINE; Journals@Ovid Complete
subjects Adolescent
Biological and medical sciences
Bone Diseases, Developmental - diagnosis
Bone Diseases, Developmental - surgery
Child
Child, Preschool
Diseases of the osteoarticular system
Female
Femur Head - diagnostic imaging
Femur Head - surgery
Hip Joint - diagnostic imaging
Humans
Joint Diseases - diagnosis
Joint Diseases - diagnostic imaging
Joint Diseases - etiology
Joint Diseases - surgery
Male
Malformations and congenital and or hereditary diseases involving bones. Joint deformations
Medical sciences
Radiography
title Coxa Breva: Its Pathogenesis and a Rationale for Its Management
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