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Related Experiment Videos

Apophyseal fracture of the greater trochanter.

D M Bloome1, J D Thompson

  • 1Department of Orthopaedic Surgery, University of New Mexico, and Carrie Tingley Hospital, Albuquerque, USA.

Southern Medical Journal
|August 30, 2000
PubMed
Summary
This summary is machine-generated.

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Greater trochanter fractures are rare in adolescents. This case highlights a fracture mimicking slipped capital femoral epiphysis, emphasizing the need for careful diagnosis in hip pain.

Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Sports medicine

Background:

  • Apophyseal fractures are common in the pelvis and proximal femur.
  • Fractures involving the greater trochanter are exceptionally rare.
  • Slipped capital femoral epiphysis (SCFE) is a common hip condition in adolescents.

Observation:

  • A 15-year-old male presented with hip pain and symptoms suggestive of SCFE.
  • Initial radiographs and bone scan of the capital femoral epiphysis were normal.
  • The patient had no history of specific inciting trauma.

Findings:

  • Follow-up radiographs confirmed an apophyseal fracture of the greater trochanter.
  • The clinical presentation mimicked that of a slipped capital femoral epiphysis.

Related Experiment Videos

  • This represents a rare case of isolated greater trochanteric apophyseal fracture.
  • Implications:

    • This case underscores the importance of considering apophyseal fractures of the greater trochanter in the differential diagnosis of adolescent hip pain.
    • Diagnostic imaging should be carefully evaluated for subtle fractures, even when SCFE is suspected.
    • Further research may be needed to understand the biomechanics and optimal management of these rare injuries.