Services on Demand
Journal
Article
Indicators
- Cited by SciELO
- Access statistics
Related links
- Cited by Google
- Similars in SciELO
- Similars in Google
Share
Colombia Médica
On-line version ISSN 1657-9534
Abstract
VERGARA-AMADOR, Enrique and PINA, Marcela. Dysplasia epiphysealis capitis femoris. Meyer dysplasia. Colomb. Med. [online]. 2010, vol.41, n.4, pp.373-376. ISSN 1657-9534.
Introduction: Epiphyseal dysplasia of the femoral head (EDFH) is defined as an alteration in the development of the childs hip, characterized by delayed ossification of the proximal femoral epiphysis. Methods: Herein, we present six cases of epiphyseal dysplasia of the femoral head (EDFH), seen by the principal author (EVA) within the last six years with minimum follow up at 15 months. Results: The cases were all diagnosed as casual findings. None of the children had symptoms or clinical signs in the hip, only one had a history of hip pain for five days, two months prior, which was diagnosed at the time as transient synovitis. Discussion: Among the differential diagnoses, the main one is Perthes disease, which is differentiated by several parameters like earlier age onset for EDFH (in children below 4 years of age), bilateralism (50% vs. 10%), and a calmer presentation in Meyers dysplasia. The evolution in Meyers dysplasia is toward improving radiographic changes. None of the patients revealed incongruence of the hip or early degenerative changes, indicating an excellent prognosis. Many authors think it is a variant of the normal ossification of the femoral head.
Keywords : Meyer dysplasia; Legg-Perthes disease; Hip.