Avascular necrosis of the femoral head as sequela of fracture of the greater trochanter. A case report and review of the literature.
After a fall from a tree, a 12-year-old boy sustained a fracture of the greater trochanter and was subsequently treated by open reduction. Twenty months after surgery, the hip developed to a flexion contracture, limb-length discrepancy, a collapsed, irregular-shaped femoral head with sclerotic areas, and a metaphyseal cyst. A growing child with avascular necrosis of the femoral head after fracture of the greater trochanter seems not to have been reported in the English language literature.
Kaweblum
M
M
Department of Orthopedic Surgery, Hospital for Joint Diseases Orthopaedic Institute, New York, NY 10003.
Lehman
W B
WB
Grant
A D
AD
Strongwater
A
A
D002648:Child; D005271:Femur Head Necrosis / Q000000981:diagnostic imaging / Q000209:etiology*; D006620:Hip Fractures / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D011859:Radiography