Traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in a 5-month-old child: a case report.
BACKGROUND
Traumatic transepiphyseal separation of the upper femoral epiphysis is a rare lesion of the hip in children.


METHODS
We report a case of conservative treatment of transepiphyseal separation of the upper femoral epiphysis following tonic/clonic seizures in a 5-month-old child. Magnetic resonance imaging confirmed the diagnosis The fracture was maintained with hip spica cast for 6 weeks. At the age of 2, complete healing of the lesion including femoral neck remodeling was noted on frontal and lateral radiographs. There was no radiological evidence of AVN or premature closure of the physis. He continues to be followed up.


CONCLUSIONS
Because of the remodeling potential in young children, we assume not to perform additional reduction procedures in such traumatic lesions.
Aoudi
Kamal
K
Department of Pediatric Orthopedics, Armand Trousseau Children's Hospital, Université Pierre et Marie Curie-Paris6, 26, avenue du Docteur Arnold Netter, F-75571 Paris Cedex 12, France.
Vialle
Raphaël
R
Thevenin-Lemoine
Camille
C
Abelin
Kariman
K
Mary
Pierre
P
Damsin
Jean-Paul
JP