Proximal Femoral Epiphysiolysis Secondary to a Femoral Neck Fracture

Abstract

Fractures of femoral neck in children present serious problems related to the fracture itself, or secondary to delayed and inadequate treatment. Urgent and appropriate treatment is therefore required. We present one case in which late diagnosis and inadequate treatment resulted in a varus union of a cervicotrochanteric fracture that seriously increased the shear forces, thus causing a chronic proximal femoral epiphysiolysis with an evolution similar to that seen in adolescents. This requires early surgical treatment and stable internal fixation with a functionally good medium-term result.