Skip to main content
SpringerLink
Log in

Hüftgelenk und Oberschenkel

  • Chapter
Praxis der Kinder- und Jugendtraumatologie

  • 3825 Accesses

Zusammenfassung

Die Längsachse des Femurschaftes steht beim Neugeborenen in einer Abwinkelung von ca. 150° zur Achse des proximalen Femur (Caput-Collum-Diaphysen-Winkel). Bis zur Adoleszenz tritt hier eine Varisierung bis ca. 120° ein (Hefti 2000). Die physiologische Detorsion des Schenkelhalses gegenüber der queren Kondylenebene des distalen Femurendes (Antetorsionswinkel) verläuft von 40° bei Geburt bis ca. 15° beim jungen Erwachsenen. Sie erfolgt in 2 Schüben, einmal zwischen dem 5. und 8. Lebensjahr und dann kurz vor Wachstumsabschluss.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 49.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  • Atsumi T, Yamano K, Muraki M, Yoshihara S, Kajihara T (2000) The blood supply of lateral epiphyseal arteries in Perthe’s disease. J Bone Joint Surg (Br) 82 392

    Article  CAS  Google Scholar 

  • Azouz EM, Karamitsos C, Reed MH, Baker L, Kozlowski K, Hoeffel J-C (1993) Types and complications of femoral neck fractures in children. Pediatr Radiol 23:415–420

    Article  PubMed  CAS  Google Scholar 

  • Beck A, Rüter A (1998) Schenkelhalsfrakturen – Diagnostik und therapeutisches Vorgehen. Unfallchirurg 101: 634–648

    Article  PubMed  CAS  Google Scholar 

  • Bienkowski P, Harvey EJ, Reindl R, Berry GK, Benaroch TE, Ouellet JA (2004) The locked flexible intramedullary humerus nail in pediatric femur and tibia shaft fractures: a feasibility study. J Pediatr Orthop 24:634–637

    Article  PubMed  CAS  Google Scholar 

  • Cheng JCY, Tang N (1999) Decompression and Stable Internal Fixation of Femoral Neck Fractures in Children can Affect the Outcome. J Pediatr Orthop 19 3 338–343

    Article  PubMed  CAS  Google Scholar 

  • Chung SMK (1976) The arterial supply of the developing proximal end of the femur. J Bone Joint Surg 58 (A) 961–968

    PubMed  CAS  Google Scholar 

  • Colonna PC (1928) Fracture of the neck of the femur in childhood. A report of 6 cases. Ann Surg 88: 902

    Article  PubMed  CAS  Google Scholar 

  • Craig NJ, Maffulli N (2005) Subtrochanteric fractures: current management options. Disability and rehabilitation 27: 1181–1190

    Article  PubMed  Google Scholar 

  • Dietz HG, Schmittenbecher PP, Slongo T, Wilkens KE (2006) Elastic Stable Intramedullary Nailing (ESIN) in children. 1. Auflage Thieme Stuttgart-New York

    Google Scholar 

  • Dwyer AJ, Mam MK, John B, Gosselin RA (2003) Femoral shaft fractures in children—a comparison of treatment. Int Orthop 27:141–144

    PubMed  CAS  Google Scholar 

  • Fornaro E, Brunner C, Weber BG (1982) Treatment of femoral neck fracture in childhood-emergency arthrotomy, repositioning and screw insertion. Hefte Unfallheilkd 158: 247–253

    PubMed  CAS  Google Scholar 

  • Frech-Dörfler M, Hasler CC, Häcker FM (2010) Immediate hip spica for unstable femoral shaft fractures in preschool children: still an efficient and effective option. Eur J Pediatr Surg 20:18–23

    Article  PubMed  Google Scholar 

  • Gautier E, Ganz K, Krügel N, Gill T, Ganz R (2000) Anatomy of the medial femoral circumflex artery and its surgical implications. J Bone Joint Surg 82-B:679–683

    Article  Google Scholar 

  • Gill TJ, Sledge JB, Ekkernkamp A, Ganz R (1998) Intraoperative assessment of femoral head vascularity after femoral neck fracture. J Orthop Trauma 12(7): 474–478

    Article  PubMed  CAS  Google Scholar 

  • Hahn MP, Ostermann PAW, Richter D, Dávid A (1995) Klassifikation, Therapie und Komplikationen der kindlichen Schenkelhalsfrakturen. Zentralbl Chir 120:832–840

    PubMed  CAS  Google Scholar 

  • Hasler CC (2000) Beinlängendifferenzen. Orthopäde 29:766–774)

    Article  CAS  Google Scholar 

  • Hefti F (2000) Achsenfehler an den unteren Extremitäten. Orhopäde 29:814–820

    Article  CAS  Google Scholar 

  • Hughes LO, Beaty JH (1994) Fractures of the head and neck of the femur in children. J Bone Joint Surg 76-A:283–292

    Google Scholar 

  • Hunter JB (2005) Femoral shaft fractures in children. Injury 36 Suppl 1: A86–A93

    Article  PubMed  Google Scholar 

  • Ilchmann T, Parsch Klausdieter, Rether JR (2002) Frakturen am proximalen Femur im Wachstumsalter. Trauma Berufskrankh 4:476–481

    Article  Google Scholar 

  • Jencikova-Celerin L, Phillips JH, Werk LN, Wiltrout SA, Nathanson I (2008) Flexible interlocked nailing of pediatric femoral fractures: experience with a new flexible interlocking intramedullary nail compared with other fixation procedures. J Pediatr Orthop 28:864–873

    Article  PubMed  Google Scholar 

  • Jonasch E, Bertel E (1981) Verletzungen bei Kindern bis zum 14. Lebensjahr. H Unfallheilk 150

    Google Scholar 

  • Kälicke T, Kammler J, Jungbluth P, Muhr G, Arens S (2005) Frakturen des Oberschenkels im Wachstumsalter. Trauma Berufskrankh 7: 29–36

    Article  Google Scholar 

  • Kanlic E, Cruz M (2007) Current concepts in pediatric fracture treatment. Orthopedics 39(12): 1015–1019

    Google Scholar 

  • Keeler KA, Dart B, Luhmann SJ, Schoenecker PL, Ortman MR, Dobbs MB, Gordon JE (2009) Antegrade intramedullary nailing of pediatric fractures using an interlocking pediatric femoral nail and a lateral trochanteric entry point. J Pediatr Orthop 29(4): 345–351

    Article  PubMed  Google Scholar 

  • Kraus R, Schneidmüller D, Röder C (2005 ) Häufigkeit von Frakturen der langen Röhrenknochen im Wachstumsalter. Dtsch Arztebl 102; 23: 838–842

    Google Scholar 

  • Kuremsky MA, Frick SL (2007) Advances in the surgical management of pediatric femoral shaft fractures. Curr Opin Pediatr 19(1): 51–57

    Article  PubMed  Google Scholar 

  • Kurz W, Grumbt H (1988) The femoral neck fracture in childhood. Zentralbl Chir 113(14): 881–892

    PubMed  CAS  Google Scholar 

  • Landin LA (1983) Fracture patterns in children. Analysis of 8682 fractures with special reference to incidence, etiology and secular changes in a Swedish urban population 1950–1979. Acta Orthop Scand Suppl 202: 1–109

    Google Scholar 

  • Loder RT, O’Donnell PW, Feinberg JR (2006) Epidemiology and mechanisms of femur fractures in children. J Pediatr Orthop 26: 561–566

    Article  PubMed  Google Scholar 

  • Maeda S, Kita A, Fujii G, Funayama K, Yamada N, Kokubun S (2003) Avascular necrosis associated with fractures of the femoral neck in children: histological evaluation of core biopsies of the femoral head. Injury, Int Care Injured 34 283–286

    CAS  Google Scholar 

  • Maier M, Maier-Heidkamp P, Lehnert M, Wirbel R, Marzi I (2003) Ausheilungsergebnisse konservativ und operativ versorgter kindlicher Femurfrakturen. Unfallchirurg 106:48–54

    Article  PubMed  CAS  Google Scholar 

  • Mayr J, Hirner V, Styhler W, Posch E, Jelen M, Linhart WE, Kohlmaier W, Neubauer T., Schwarz N (1998) Femoral neck fractures in childhood. Unfallchirurg 101(6): 426-432

    Article  Google Scholar 

  • Narayanan UG, Hyman JE, Wainwright AM (2004) Complications of elastic stable intramedullary nail fixation of pediatric femoral fractures, and how to avoid them. J Pediatr Orthop 24: 363–369

    Article  PubMed  Google Scholar 

  • Nectoux E, Giacomelli MC, Karger C, Gicquel P, Clavert JM (2007) Use of end caps in elastic stable intramedullary nailing of femoral and tibial unstable fractures in children:preliminary results in 11 fractures. J Child Orthop 2(4): 309–314

    Article  Google Scholar 

  • Ng GPK, Cole WG (1996) Effect of early hip decompression on the frequency of avascular necrosis in children with fractures of the neck of the femur. Injury 27(6): 419–421

    Article  PubMed  CAS  Google Scholar 

  • Niethard FU (1982) Pathophysiologie und Prognose von Schenkelhalsfrakturen im Kindesalter Hefte. Unfallheilkunde 158: 221–232

    CAS  Google Scholar 

  • Pape HC, Krettek C, Friedrich A, Pohlemann T, Simon R, Tscherne H (1999) Long-term outcome in children with fractures of the proximal femur after high-energy trauma. J Trauma 46 (1): 58–64

    Article  PubMed  CAS  Google Scholar 

  • Poolmann RW, Kocher MS, Bhandari M (2006) Pediatric femoral fractures: a systemic review of 2422 cases. J Orthop trauma 20: 648–654

    Google Scholar 

  • Ratliff AHC (1974) Fractures of the neck of the femur in children. Orthop Clin N Amer 5: 903

    CAS  Google Scholar 

  • Schwend RM, Werth C, Johnston A (2000). Femur shaft fractures in toddlers and young children: rarely from child abuse. J Pediatr Orthop 20:475–481

    Article  PubMed  CAS  Google Scholar 

  • Shah AK, Eissler J, Radomisli T (2002) Algorithmus For The Treatment of Femoral Neck Fractures. Clin Orthop Rel Res 399 28–34

    Article  Google Scholar 

  • Slongo T, Audige L, Schlickewei W, Clavert J-M, Hunter J (2006) Development and Validation of the AO Pediatric Comprehensive Classification of Long Bone Fractures by the Pediatric Expert Group of the AO in Collaboration With AO Clinical Investigation and Documentation and the International Association of Pediatric Traumatology. J Pediatr Orthop 26: 43–49

    Article  PubMed  Google Scholar 

  • Strohm PC, Schmal H, Kuminack K, Reising K, Südkamp NP (2006) Intertrochantäre Femurfrakturen im Kindesalter. Unfallchirurg 109:425–430

    Article  PubMed  CAS  Google Scholar 

  • Vanlaningham CJ, Schaller TM, Wise C (2009) Skeletal versus skin traction before definitive management of pediatric femur fractures: a comparison of patient narcotic requirements. J Pediatr Orthop 29:609–611

    Article  PubMed  Google Scholar 

  • Vialle R, Odent T, Pannier S, Pauthier F, Laumonier F, Glorion C (2005) Traumatic hip dislocation in childhood. J Pediatr Orthop 25(2): 138–144

    Article  PubMed  Google Scholar 

  • Vierhout BP, Sleeboom C, Aronson DC, Van Walsum ADP, Zijp G, Heij HA (2006) Long-Term Outcome of Elastic Stable Intramedullary Fixation (ESIF) of Femoral Fractures in Children. Eur J Pediatr Surg 16: 432–437

    Article  PubMed  CAS  Google Scholar 

  • Wessel L, Seyfriedt C (1996) Leg length inequality following pediatric femoral fractures – final or temporary phenomenon. Unfallchirurg 99: 275–282

    PubMed  CAS  Google Scholar 

  • Wiedmann H, Parsch K (1990) Schenkelhalsfraktur bei Kindern. Z Orthop 128 418–421

    Article  PubMed  CAS  Google Scholar 

  • Wissing H, Spira G (1986) Die Bestimmung von Rotationsfehlern am Femur durch computertomographische Bestimmung des Antetorsionswinkels des Schenkelhalses. Europ J Trauma 12: 1–11

    CAS  Google Scholar 

  • Wright JG, Wang EE, Owen JL, Stephens D, Graham HK, Hanlon M, Nattrass GR, Reynolds RA, Coyte P (2005) Treatment for paediatric femoral fractures: a randomised trial. Lancet 365:1153–1158

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Evangelisches Krankenhaus Lippstadt, Kinderchirurgische Abteilung, Wiedenbrücker Straße 33, 59555, Lippstadt

    Dr. med. T. Gresing

Authors
  1. Dr. med. T. Gresing
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Kinderchirurgische Klinik und Poliklinik im Dr. von Haunerschen Kinderspital, Klinikum der Universität München, Lindwurmstr. 4, 80337, München

    H. G. Dietz

  2. Klinik für Kinderchirurgie und Schwerbrandverletzte, Kinderkrankenhaus Park Schönfeld Klinikum Kassel, Frankfurter Str. 167, 34121, Kassel

    P. Illing

  3. Klinikum Karlsruhe, Kinderchirurgische Klinik, Moltkestr. 90, 76133, Karlsruhe

    P. P. Schmittenbecher

  4. Leitender Arzt Kindertraumatologie/Kinderchirurgie, Universitätsklinik für Kinderchirurgie, Inselspital, Freiburgstr. 10, 3010, Bern

    Th. Slongo M.D.

  5. Ltd. Arzt Abteilung für Kinderund Jugendtraumatologie, Altonaer Kinderkrankenhaus, Bleickenallee 38, 22763, Hamburg

    D. W. Sommerfeldt

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer Medizin Verlag Heidelberg

About this chapter

Cite this chapter

Gresing, T. (2011). Hüftgelenk und Oberschenkel. In: Dietz, H.G., Illing, P., Schmittenbecher, P.P., Slongo, T., Sommerfeldt, D.W. (eds) Praxis der Kinder- und Jugendtraumatologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-12935-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-12935-3_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-12934-6

  • Online ISBN: 978-3-642-12935-3

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation