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Proximal Femoral Focal Deficiency(PFFD): More Than An Abnormal Hip
Christopher G. Anton1, Kimberly E. Applegate, Thomas E. Kuivila
1Department of Radiology, Cincinnati ChildrenÕs Hospital, Cincinnati, Ohio.
Seminars in Musculoskeletal Radiology
|June 2, 2001
Summary
Proximal femoral focal deficiency (PFFD) involves developmental issues of the hip and thigh bone. This review covers classification, imaging like MRI, and treatment options for PFFD.
Area of Science:
- Orthopedics
- Developmental Biology
- Medical Imaging
Background:
- Proximal femoral focal deficiency (PFFD) is a congenital condition characterized by incomplete development of the proximal femur and acetabulum.
- The severity of PFFD varies, impacting hip joint formation and function.
Purpose of the Study:
- To review existing classification schemes for proximal femoral focal deficiency (PFFD).
- To discuss clinical findings, associated anomalies, diagnostic imaging, and treatment strategies for PFFD.
- To highlight the role of imaging, including MRI, in accurate PFFD classification and predicting surgical intervention needs.
Main Methods:
- Review of literature on PFFD classification systems.
- Analysis of radiographic and magnetic resonance imaging (MRI) findings in PFFD patients.
- Discussion of clinical presentations and treatment outcomes.
Main Results:
- PFFD classification is primarily based on radiographic assessment, which can evolve with skeletal maturation.
- Magnetic resonance imaging (MRI) offers potential for earlier and more precise classification of PFFD.
- Classification systems aim to predict functional outcomes and guide surgical management decisions.
Conclusions:
- Accurate classification of PFFD is crucial for predicting prognosis and determining appropriate interventions.
- A combination of radiographic and advanced imaging techniques like MRI can enhance PFFD assessment.
- Understanding PFFD classification aids in tailoring treatment plans for improved patient function.