[Bilateral upper femoral physis injury in a case of epilepsy in a young child].
Detachment of the proximal epiphyseal plate of the femur is a rare observation in infants. The context usually involves obstetrical injury or child abuse. There is however a high risk in certain children with epilepsy. Fractures and dislocations can occur during hypertonic seizures in a context of iatrogenic bone weakening due to drug treatments. Emergency reduction is required and requires a double fixation with osteosynthesis and plaster cast in order to reduce the risk of secondary displacement in this particular context. The risk of major impact on growth requires prolonged radiographic and clinical follow-up.
Service de Chirurgie Orthopédique Pédiatrique, Hôpital d'Enfants, Centre Hospitalo-Universitaire de Nancy, Vandoeuvre, France.
N
N
Paris
P
P
Journeau
N
N
Moh Ello
T
T
Haumont
R A
RA
Randriabololona
J-D
JD
Métaizeau
P
P
Lascombes
D004827:Epilepsy / Q000150:complications*; D004838:Epiphyses / Q000293:injuries / Q000601:surgery; D005269:Femur / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D014947:Wounds and Injuries / Q000209:etiology / Q000601:surgery