[Labor trauma-induced epiphysiolysis of the proximal femur. 4 cases].
The authors report on 4 cases of obstetrical traumatic slipping of the upper femoral epiphysis. Firstly, they emphasise the difficulties of diagnosis because trauma is often missed. In two cases the delivery was a cesarean section (in the same clinic!). Wrong diagnoses are: --neonatal septic arthritis with swelling and inflammation of the hip, lateral deviation of the metaphysis on the x-ray. Nevertheless, there are no signs of an infectious disease and symptoms begin at birth. --congenital dislocation of the hip but clinical testing of stability is painful and doubtful. Secondly, when diagnosis is uncertain, a joint aspiration confirms haemarthrosis, and arthrography shows the displacement of the epiphysis on the metaphysis. Finally, the authors explain their therapeutic procedure: three times orthopaedic treatment with traction and spica cast for 2 months, a pin osteosynthesis in one case. Prognosis was favourable in two cases, but the two other cases present a lateral rotation of the leg in relation to a retroversion of the femoral head.
Prévot
J
J
Clinique Chirurgicale Pédiatrique, Hôpital des Enfants de Nancy.
Lascombes
P
P
Blanquart
D
D
Gagneux
E
E
D000293:Adolescent; D001720:Birth Injuries / Q000175:diagnosis / Q000601:surgery*; D002370:Casts, Surgical; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D004839:Epiphyses, Slipped / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005593:Fracture Fixation, Internal; D006620:Hip Fractures / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis
Geburtstraumatische Epiphysenlösung des proximalen Femurs. 4 Fälle.