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Transverse cervicopertrochanteric hip fracture.
J G Gamble1, J Lettice, J T Smith
1Division of Orthopaedic Surgery, Stanford University School of Medicine, California.
Journal of Pediatric Orthopedics
|November 1, 1991
Summary
A rare transverse hip fracture in a young child was successfully treated with skeletal traction and spica casting. Follow-up showed excellent bone healing and normal hip development without complications.
Area of Science:
- Pediatric Orthopedics
- Pediatric Traumatology
- Pediatric Bone Health
Background:
- Hip fractures are uncommon in young children.
- Transverse hip fractures involving multiple regions are exceptionally rare.
- Optimal management strategies for complex pediatric hip fractures require further investigation.
Observation:
- A 3-year-old boy presented with a unique transverse hip fracture affecting the cervical, cervicotrochanteric, and intertrochanteric areas.
- The fracture pattern was previously undescribed in pediatric literature.
- Treatment involved 4 weeks of skeletal traction followed by spica cast immobilization.
Findings:
- The treatment resulted in successful fracture healing.
- A 3-year follow-up revealed satisfactory growth and remodeling of the proximal femur.
- No signs of osteonecrosis, premature physeal closure, or coxa vara were observed.
Implications:
- This case demonstrates the efficacy of skeletal traction and spica casting for complex pediatric hip fractures.
- Early and appropriate management can lead to excellent long-term outcomes in pediatric hip fractures.
- Further research into rare pediatric hip fracture patterns and their management is warranted.