Avulsion fracture of the greater trochanter and femoral neck fracture in a young girl: An extremely rare fracture combination

Al Freitas, Anderson Freitas, Silvio Leite, Macedo Neto, Bruna Alves De Azevedo, Mário Leite Bringel, Leonardo Santos Diener, Ana Patrícia De Paula
2016 Journal of Case Reports and Images in Orthopedics and Rheumatology   unpublished
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
more » ... lsion 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,