1. Proximal Femoral Bone Cyst After Single Screw Fixation for Slipped Capital Femoral Epiphysis: A Case Report.
- Author
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Siegel MA, Chen JY, Hanna MR, and Farid YR
- Subjects
- Bone Cysts diagnostic imaging, Bone Cysts surgery, Child, Female, Humans, Postoperative Complications diagnostic imaging, Postoperative Complications surgery, Tomography, X-Ray Computed, Young Adult, Bone Cysts etiology, Bone Transplantation, Postoperative Complications etiology, Slipped Capital Femoral Epiphyses surgery
- Abstract
Case: An 11-year-old female patient underwent bilateral in situ fixation for slipped capital femoral epiphyses using single, cannulated, stainless steel screws. She presented 12 years later with a large osteolytic lesion of the proximal femur, which only involved 1 side. Histological evaluation showed a foreign-body reaction and synovial lining. Infection was ruled out and dynamic hip screw stabilization, and bone grafting were performed. The bone graft healed, and the hardware was removed to prevent a similar reaction. In retrospect, postoperative radiographs at 7 weeks showed subtle osteolysis along the screw., Conclusion: Intra-articular drilling, vertical screw placement into the posterior epiphysis, and the prominent screw head may have led to this unexpected complication., Competing Interests: Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/B325)., (Copyright © 2020 by The Journal of Bone and Joint Surgery, Incorporated.)
- Published
- 2020
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