title: [Juvenile unstable severe slip of the proximal femoral epiphysis: case report and review of treatment options].
abstract: The authors present the case of a severe unstable slip of the proximal femoral epiphysis in a 14-year-old boy. A serious metabolic disorder diagnosed in the boy led to postponement of necessary surgical intervention. The primary development of necrosis of the proximal femoral epiphysis during the 6 months following the slip is reported here. A good outcome was eventually achieved by three-plane valgus, flexion and derotational osteotomy of the femur at second-stage surgery. The authors emphasize the prognostic importance of stability assessment in the displaced epiphysis.
authors.affiliation: Ortopedická klinika LF UK a FN, Hradec Králové.
authors.forename: P
authors.initials: P
authors.lastname: Sponer
authors.forename: K
authors.initials: K
authors.lastname: Urban
mesh_terms: D000293:Adolescent; D001851:Bone Diseases, Metabolic / Q000150:complications*; D004839:Epiphyses, Slipped / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head; D006801:Humans; D008297:Male; D011859:Radiography