Traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in two children with cerebral palsy.
Transepiphyseal separation of the neck of the femur following grand mal seizures is described in two children with cerebral palsy. Closed reduction and percutaneous fixation was followed by a period in a hip spica. Although the incidence of avascular necrosis of the femoral head is high following such injury, this has not occurred in these patients at a follow-up of 18 months.
Ballal
M S
MS
Department of Paediatric Orthopaedics, The Royal Liverpool Children's NHS Trust, Alder Hey, Eaton Road, Liverpool L12 2AP, UK. dr_moez@yahoo.co.uk
Dawoodi
A
A
Sampath
J
J
Bass
A
A
D002547:Cerebral Palsy / Q000150:complications* / Q000000981:diagnostic imaging; D002648:Child; D004827:Epilepsy / Q000150:complications* / Q000000981:diagnostic imaging; D004830:Epilepsy, Tonic-Clonic / Q000150:complications / Q000000981:diagnostic imaging; D004838:Epiphyses / Q000000981:diagnostic imaging / Q000293:injuries; D005260:Female; D005265:Femoral Neck Fractures / Q000000981:diagnostic imaging / Q000209:etiology*; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000293:injuries*; D005592:Fracture Fixation / Q000379:methods; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography