Isolated fractures of the lesser trochanter in children.
In a retrospective study of 1126 children with fractures of the proximal third of the femur, three children were found to have isolated fractures of the lesser trochanter. This fracture occurred from a fall in one child and following sporting activities, without a history of injury, in the others. In the latter children, the clinical presentations were similar to those of children with transient synovitis of the hip or Perthes disease. In each child, plain radiographs showed an avulsion fracture of the bony portion of the lesser trochanter. Early and complete recovery followed symptomatic treatment even when there was marked proximal displacement of the avulsed segment of the lesser trochanter.
Division of Orthopaedics, Hospital for Sick Children, Toronto, Ontario, Canada.
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TN
Theologis
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H
Epps
K
K
Latz
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WG
Cole
D000058:Accidental Falls; D001265:Athletic Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D001510:Bed Rest; D002648:Child; D002675:Child, Preschool; D005264:Femoral Fractures / Q000000981:diagnostic imaging / Q000628:therapy; D005270:Femur Head / Q000000981:diagnostic imaging / Q000293:injuries*; D006620:Hip Fractures / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007223:Infant; D011859:Radiography; D012189:Retrospective Studies; D016896:Treatment Outcome