screw

Medial femoral condyle

Technique

Arthroscope in lateral portal

Clear fat pad

Ensure can see entire dimensions of OCD

If fragment is displaced, reduce and pin with accessory K wire

Deformity

Varus / extension / external rotation

Options

Intertrochanteric

Base of Neck

Subcapital

Osteotomy

Valgus / flexion / internal rotation

Intertrochanteric / Southwick 

Technique

- biplanar

- valgising / flexion / internal rotation 

Definition

Displacement of proximal femoral epiphysis in the immature hip

- due to imbalance of mechanical and endocrine factors 

Epidemiology

Age Peak Incidence : M 12-14; F 11-13; Slight downward trend due to earlier maturation of children

L hip > R

10 / 100 000

Bilateral SUFE

No endocrine abnormality

- 20% at time of of diagnosis

- another 20% during diagnosis

- up to 60% with long term follow up

Epidemiology

Young men

Aetiology

FOOSH

- axial load, dorsiflexion and radial deviation

DISI occurs in ulna deviation

Herbert Classification

Type A    Stable acute fracture

A1 Tubercle

Mechanism

Usually a direct blow 

- less commonly a fall on the outstretched hand

RTA / sporting accidents commonest causes

Can be pathological as a result of radionecrosis

- eg following radiotherapy for breast cancer.  

Incidence

Fractures of the clavicle are common