Dysplasia epiphysealis capitis femoris?
From the age of 22 months, a boy with bilateral dysplasia of the femoral heads has been followed clinically and radiologically for over seven years. Initial ascertainment came through his mild but persistent waddling gait. The patients is of small stature with normal linear growth parallel to the third percentile. Hypothyroidism was ruled out. Fixed traction applied at 56/12 years for almost 3 months promptly relieved the one episode of hip pain but did not alter the favorable natural course. The hip dysplasia in this proband may differ from the type of dysplasia epiphysealis capitis femoris originally defined by Meyer. As has been recognized by others, the latter probably represents several related disorders instead of only a single nosological entity. Considerations on differential diagnosis, prognosis, and management are offered.
Key wordsDysplasia epiphysealis capitis femoris Hip dysplasia Osteochondritis Legg-Calvé-Perthes disease Multiple epiphyseal dysplasia
Unable to display preview. Download preview PDF.
- 1.Harrision CS (1971) Dysplasia epiphysealis capitis femoris. Clin Orthop 80:118–125Google Scholar
- 2.Maroteaux P (1982) Maladies osseuses de l'enfant, 2nd edn. Flammarion, ParisGoogle Scholar
- 3.Maroteaux P, Hedon Ch (1981) Dysplasies bilatérales isolées de la hanche chez le jeune enfant. Ann Radiol 24:181–187Google Scholar
- 4.Meyer J (1964) Dysplasia epiphysealis capitis femoris. Acta Orthop Scand 34: 183–197Google Scholar
- 5.Spranger JW, Langer LO, Wiedemann H-R (1974) Bone dysplasias. Fischer Verlag, StuttgartGoogle Scholar