Abduction contracture: an unusual complication in the treatment of acute capital femoral epiphysiolysis
Zettas, J.P.; Zettas, P.
Clinical Orthopaedics and Related Research 146: 215-218
1980
ISSN/ISBN: 0009-921X PMID: 7371254 Document Number: 163799
A significant abduction contracture of the hip followed closed reduction and pinning of an acute slip of the proximal femoral epiphysis in a 13-year-old boy. The contracture was corrected by removal of this bony prominence. Over-reduction of the slipped epiphysis into valgus is thought to have stimulated bony overgrowth at the posteromedial aspect of the capital femoral epiphyseal-neck junction. This causes a block to adduction by abutting against the inferior lip of the acetabulum. To our knowledge, this complication has not been previously reported.