Acta Orthop Belg
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Apophyseal fracture affecting the greater trochanter is a rare injury in children. We report a case of non traumatic avulsion of the greater trochanter in a 13-year-old boy who presented with a history of pain about his right hip over the past few months. ⋯ The symptoms resolved after percutaneous in situ lag screw fixation. Radiographs 18 months after treatment showed fusion of the trochanteric physis.
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A number of surgical procedures have been described for reconstruction of the disrupted acromioclavicular (AC) joint. Among these is the use of anchor sutures tied over a small button plate. The present study aims to evaluate the preliminary results with this technique in 15 patients with a mean age of 31 years (range: 19-48 years). ⋯ Residual subluxation occurred in one patient and dislocation occurred in another. All patients except one were satisfied with the results in terms of functional performance and cosmetic appearance. In conclusion, considering its low morbidity, unnecessary hardware removal and minimal complications from breakage or migration of metal implants, this technique appears to offer a good alternative in AC joint stabilization.