Findings and Management of the Rare Caput Flexum Deformity of the Hip: A Case Report. Issue 3 (July 2019)

• Record Type: Journal Article
• Authors: Leunig, M.; Fickert, S.; Ganz, R.
• Is Part Of: JBJS case connector. Volume 9:Issue 3(2019)
• Publication Date: 2019-07
• Subjects: Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.18.00321
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 10-year-old girl presented after possible occult hip trauma, with shortening of the leg being the initial clinical symptom, followed by motion-dependent pain. She had limited external rotation in extension with anterior apprehension. Radiographically, the deformity was an anterior tilt of the epiphysis with coxa vara. Surgery included surgical dislocation using a retinacular flap for the anterior open wedge femoral neck osteotomy for extension and posterior translation, with an excellent 4.5-year clinical outcome. Conclusions: Caput flexum is a rare deformity with localized premature closure of the anterior growth plate of the hip. To avoid secondary impingement, an osteotomy was successfully placed close to the deformity.