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A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting
The Shepherd’s crook deformity of the proximal femur is a characteristic radiologic feature of fibrous dysplasia. It may be limited to a single bone, which is called monostotic, or may be polyostotic involving multiple bones as seen in McCune-Albright Syndrome. We report a case of a 19-year-old male...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372827/ https://www.ncbi.nlm.nih.gov/pubmed/34430101 http://dx.doi.org/10.7759/cureus.16485 |
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author | Pathak, Subodh Kumar S. M., Ajoy Thivari, Praveen S Sharma, Atul Rai Chawla, Jasneet S Sharma, Aryan Garg, Ashish Sharma, Sarthak Ratna, Harish V. K. Singh, Akshdeep Jain, Ayush |
author_facet | Pathak, Subodh Kumar S. M., Ajoy Thivari, Praveen S Sharma, Atul Rai Chawla, Jasneet S Sharma, Aryan Garg, Ashish Sharma, Sarthak Ratna, Harish V. K. Singh, Akshdeep Jain, Ayush |
author_sort | Pathak, Subodh Kumar |
collection | PubMed |
description | The Shepherd’s crook deformity of the proximal femur is a characteristic radiologic feature of fibrous dysplasia. It may be limited to a single bone, which is called monostotic, or may be polyostotic involving multiple bones as seen in McCune-Albright Syndrome. We report a case of a 19-year-old male patient who presented to us with pain in the right hip for one year. He had dysmorphic facies and multiple café-au-lait spots over the back, which were suggestive of McCune-Albright Syndrome. The radiographs of the hip showed varus deformity of the proximal femur. A lateral closing wedge osteotomy was done and the defect was filled with morselised femoral head allografts and fibular strut allografts. At the 14-month follow-up, the patient remained functionally active without any symptoms. The use of morselised femoral head allograft combined with strut fibular allograft ensures both stability and improved biology at the site of the lesion without any donor site morbidity. |
format | Online Article Text |
id | pubmed-8372827 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-83728272021-08-23 A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting Pathak, Subodh Kumar S. M., Ajoy Thivari, Praveen S Sharma, Atul Rai Chawla, Jasneet S Sharma, Aryan Garg, Ashish Sharma, Sarthak Ratna, Harish V. K. Singh, Akshdeep Jain, Ayush Cureus Orthopedics The Shepherd’s crook deformity of the proximal femur is a characteristic radiologic feature of fibrous dysplasia. It may be limited to a single bone, which is called monostotic, or may be polyostotic involving multiple bones as seen in McCune-Albright Syndrome. We report a case of a 19-year-old male patient who presented to us with pain in the right hip for one year. He had dysmorphic facies and multiple café-au-lait spots over the back, which were suggestive of McCune-Albright Syndrome. The radiographs of the hip showed varus deformity of the proximal femur. A lateral closing wedge osteotomy was done and the defect was filled with morselised femoral head allografts and fibular strut allografts. At the 14-month follow-up, the patient remained functionally active without any symptoms. The use of morselised femoral head allograft combined with strut fibular allograft ensures both stability and improved biology at the site of the lesion without any donor site morbidity. Cureus 2021-07-19 /pmc/articles/PMC8372827/ /pubmed/34430101 http://dx.doi.org/10.7759/cureus.16485 Text en Copyright © 2021, Pathak et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Orthopedics Pathak, Subodh Kumar S. M., Ajoy Thivari, Praveen S Sharma, Atul Rai Chawla, Jasneet S Sharma, Aryan Garg, Ashish Sharma, Sarthak Ratna, Harish V. K. Singh, Akshdeep Jain, Ayush A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title | A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title_full | A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title_fullStr | A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title_full_unstemmed | A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title_short | A Shepherd’s Crook Deformity of Proximal Femur Treated by Valgus Osteotomy and Bone Grafting |
title_sort | shepherd’s crook deformity of proximal femur treated by valgus osteotomy and bone grafting |
topic | Orthopedics |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8372827/ https://www.ncbi.nlm.nih.gov/pubmed/34430101 http://dx.doi.org/10.7759/cureus.16485 |
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