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Case Reports and Images in Orthopedics and Rheumatology

 
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Case Report
 
Avulsion fracture of the greater trochanter and femoral neck fracture in a young girl: An extremely rare fracture combination
Anderson Freitas1, Silvio Leite de Macedo Neto1, Bruna Alves de Azevedo1, Mário Leite Bringel1, Leonardo Santos Diener1, Ana Patrícia de Paula1
1Hospital Ortopédico e Medicina Especializada (HOME), SGAS Quadra 613 Conjunto C, 70200-730 Brasília, DF, Brazil.

Article ID: 100001Z14AF2016
doi:10.5348/Z14-2016-1-CR-1

Address correspondence to:
Anderson Freitas
Hospital Ortopédico e Medicina Especializada (HOME)
SGAS Quadra 613 Conjunto C
70200-730 Brasília, DF
Brazil

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How to cite this article:
Freitas A, de Macedo Neto SL, de Azevedo BA, Bringel ML, Diener LS, de Paula AP. Avulsion fracture of the greater trochanter and femoral neck fracture in a young girl: An extremely rare fracture combination. J Case Rep Images Orthop Rheum 2016;1:1–5.


Abstract
Introduction: The femoral neck fractures is a severe pathology, been the fracture site and the deviation two great factors related to osteonecrosis of the femoral head. The avulsion of the apophysis of the greater trochanter is rarely described in literature, even as an example of greater trochanter fracture. The association of femoral neck fracture and apophysis of the greater trochanter in a young patient have not been described in literature yet.
Case Report: A 10-year-old victim of trampling presented avulsion fracture of the greater trochanter and ipsilateral femoral neck fracture. Here we describe preoperative, intraoperative, and postoperative care, with clinical and radiological results. Injuries were treated with open reduction and internal fixation. After a three-year follow-up, the patient presented no signs of osteonecrosis and no changes in gait, only a slight dysmetria of the lower limbs.
Conclusion: This rare combination of fractures in a skeletally immature patient caused an unusual behavior in the direction of deviation of the avulsed fragment of the greater trochanter, which may have been responsible for the good outcome.

Keywords: Femoral, Fracture, Neck, Trochanter


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Author Contributions
Anderson Freitas – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Silvio Leite de Macedo Neto – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Bruna Alves de Azevedo – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Mário Leite Bringel – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Leonardo Santos Diener – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ana Patrícia de Paula – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2016 Anderson Freitas et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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