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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2011, Number 6

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Acta Ortop Mex 2011; 25 (6)

Proximal focal femoral deficiency complicated by a proximal femoral fracture

Guizar-Cuevas S, Mora-Ríos FG, Mejía-Rehenes LC, López-Marmolejo A, Guadalupe-Vega J
Full text How to cite this article

Language: Spanish
References: 7
Page: 386-388
PDF size: 51.56 Kb.


Key words:

fracture, femur, growth and deve­l­opment.

ABSTRACT

Proximal focal femoral deficiency (PFFD) is a rare skeletal condition characterized by development failure of the subtrochanteric region of the femoral axis, with several degrees of shortening of the proximal region. There are no case reports of patients with this condition associated with a subtrochanteric fracture. We therefore describe herein the case of a newborn patient with clinical and radiographic diagnosis of proximal focal femoral deficiency complicated by a proximal femur fracture, and managed conservatively with pelvipodalic immobilization, which led to bone healing. The patient will continue to be managed in the long term to assess and treat the sequelae of PFFD according to the growth stage he is in.


REFERENCES

  1. Otera Y, Morokuma S, Yumoto Y, Hojo S, Gotoh T: Prenatal three-dimensional images of proximal focal femoral deficiency produced by helical computed tomography. Fetal Diag Ther 2009; 25(3): 349-53.

  2. Tsirikos A, Bowen J: Patellofemoral arthritis in a fused knee with proximal femoral focal deficiency. Journal of Pediatric Orthopaedics 2003; 23: 643-8.

  3. Taylor B, Kean J, Paloski M: Distal focal femoral deficiency. Journal of Pediatric Orthopaedics 2009; 29: 576-80.

  4. Maldjian C, Patel TY, Klein RM, Smith RC: Efficacy of MRI in classifying proximal focal femoral deficiency. Skeletal Radiology 2007; 36: 215-20.

  5. Sulaiman AR, Nawaz H, I Munajat, Sallehudin AY: Proximal femoral focal deficiency as a manifestation of Antley-Bixler syndrome: a case report. Journal of Orthopaedic Surgery 2007; 15(1): 84-6.

  6. Jones JC, Feldman KW, Bruckner JD: Child abuse in infants with proximal physeal injures of the femur. Pediatr Emerg Care 2004; 20(3): 157-61.

  7. Del Río G, Tapia L, Picazo B: Recién nacido con extremidad inferior corta. An Pediatr Barc 2005; 63(5): 469-70.




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Acta Ortop Mex. 2011 Nov-Dic;25