title: Operative treatment of femoral neck osteochondroma through a digastric approach in a pediatric patient:  a case report and review of the literature.
abstract: A digastric approach has been used successfully to treat adult patients with femoral neck osteochondromas; however, to our knowledge, this has not been described in pediatric patients with open proximal femur growth plates. A case of femoral neck osteochondroma in an 11-year-old boy is presented and treatment using a digastric approach is described. No intraoperative femoral neck fracture or postoperative avascular necrosis occurred. There is no recurrence of the tumor at the 7-year follow-up. Surgical hip dislocation through a digastric approach provides adequate exposure of the femoral neck for osteochondroma resection and this technique should be considered for such circumstances.
authors.affiliation: Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA. Mengnai.X.Li@HealthPartners.com
authors.forename: Mengnai
authors.initials: M
authors.lastname: Li
authors.forename: Timo
authors.initials: T
authors.lastname: Luettringhaus
authors.forename: Kevin R
authors.initials: KR
authors.lastname: Walker
authors.forename: Peter A
authors.initials: PA
authors.lastname: Cole
mesh_terms: D001859:Bone Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D002081:Buttocks / Q000601:surgery; D002648:Child; D018572:Disease-Free Survival; D005272:Femur Neck / Q000601:surgery*; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D008297:Male; D015831:Osteochondroma / Q000150:complications / Q000473:pathology / Q000601:surgery*; D010146:Pain / Q000209:etiology / Q000503:physiopathology; D052097:Quadriceps Muscle / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular; D016896:Treatment Outcome