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Treatment of Traumatic Separation of the Proximal Femoral Epiphysis without Development of OsteonecrosisA Report of Two Cases
Jonathan Gregory Schoenecker, MD1; Young-Jo Kim, MD, PhD1; Reinhold Ganz, MD2
1 Department of Orthopaedics, Children's Hospital Boston, 300 Longwood Avenue, Boston, MA 02115. E-mail address for Y.-J. Kim: Young-jo.Kim@childrens.harvard.edu
2 Orthopaedic Department, University of Berne, Inselspital, Berne 3010, Switzerland
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Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity.

Investigation performed at the Department of Orthopaedics, Children's Hospital Boston, Boston, Massachusetts

Copyright ©2010 American Society for Journal of Bone and Joint Surgery, Inc.
J Bone Joint Surg Am, 2010 Apr 01;92(4):973-977. doi: 10.2106/JBJS.I.00464
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Extract

Separation of the proximal femoral epiphysis can occur in a child with a traumatic hip dislocation and an open physis1-10. This injury has been reported to occur either as a result of direct trauma (with or without a hip dislocation) or during the reduction of a dislocated hip. This injury occurs in association with approximately 2% of all hip dislocations in patients with an open physis5.
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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