You could be reading the full-text of this article now if you...

If you have access to this article through your institution,
you can view this article in

Surgical Treatment of Overgrowth of the Greater Trochanter in Children and Adolescents

Schneidmueller, Dorien MD*; Carstens, Claus MD, PhD†; Thomsen, Marc MD, PhD†

Journal of Pediatric Orthopaedics:
doi: 10.1097/01.bpo.0000226281.01202.94
Hip/Pelvis: Original Article
Abstract

Abstract: After developmental dislocation of the hip, Perthes disease, bacterial coxitis, and other pediatric hip conditions, the femoral neck may develop short, with an overgrowth of the greater trochanter. Forty-four patients with trochanter overgrowth (47 hips) ages 6 to 17 years underwent surgery. Trochanteric epiphysiodesis was performed in 13 patients (group A), distal transfer of the greater trochanter in 24 patients (26 hips; group B), and femoral neck lengthening osteotomy in 7 patients (8 hips; group C). The mean follow-up time was 8.3 years. Clinical results were evaluated by the hip score according to Merle d'Aubigné.

Radiological parameters were evaluated by 2 of the authors.

Each operative method led to an improvement of clinical symptoms. In group A, no significant changes in the radiological parameters could be found. Groups B and C showed significant improvements in the radiological parameters. However, no difference was found between these 2 groups.

Author Information

From the *Department of Trauma, Hand and Reconstructive Surgery, Hospital of the J.W. Goethe-University of Frankfurt; and †Orthopaedic Surgery Department University of Heidelberg, Germany.

None of the authors received financial support for this study.

Reprints: Dorien Schneidmueller, MD, Department of Trauma, Hand and Reconstructive Surgery, Hospital of the Johann Wolfgang Goethe-University, Theodor Stern Kai 7, 60590 Frankfurt/Main, Germany E-mail: dorien.schneidmueller@gmx.de.

© 2006 Lippincott Williams & Wilkins, Inc.