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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: July/August 2006 - Volume 26 - Issue 4 - pp 486-490
doi: 10.1097/01.bpo.0000226281.01202.94
Hip/Pelvis: Original Article

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.

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.