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Traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in a 5-month-old child: a case report

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Abstract

Introduction

Traumatic transepiphyseal separation of the upper femoral epiphysis is a rare lesion of the hip in children.

Case report

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.

Discussion

Because of the remodeling potential in young children, we assume not to perform additional reduction procedures in such traumatic lesions.

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Authors and Affiliations

  1. 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

    Kamal Aoudi, Raphaël Vialle, Camille Thevenin-Lemoine, Kariman Abelin, Pierre Mary & Jean-Paul Damsin

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  1. Kamal Aoudi
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  2. Raphaël Vialle
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  3. Camille Thevenin-Lemoine
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  4. Kariman Abelin
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  5. Pierre Mary
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  6. Jean-Paul Damsin
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Correspondence to Raphaël Vialle.

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Aoudi, K., Vialle, R., Thevenin-Lemoine, C. et al. Traumatic transepiphyseal separation of the upper femoral epiphysis following seizures in a 5-month-old child: a case report. Childs Nerv Syst 25, 1039–1041 (2009). https://doi.org/10.1007/s00381-009-0876-9

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  • DOI: https://doi.org/10.1007/s00381-009-0876-9

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