Proximal Femoral Focal Deficiency Workup

  • Author: Michael G Dennis, MD; Chief Editor: William L Jaffe, MD   more...
 
Updated: Jan 11, 2012
 

Imaging Studies

  • The Aitken classification, which is the most widely used classification, classifies proximal femoral focal deficiency into 4 categories based on the radiographic appearance.[14] Remember that late ossification may occur, whereby the bone may be present but not visualized radiographically. Occasionally, push-pull comparison radiographs, as well as abduction-adduction views, are necessary to distinguish between class A and class B. Arthrography also can be helpful.[7, 9, 19, 20]
 
 
Contributor Information and Disclosures
Author

Michael G Dennis, MD  Consulting Surgeon, Orthopedic Care and Sports Medicine Center, Aventura Hospital and Medical Center

Michael G Dennis, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons and American Medical Association

Disclosure: Nothing to disclose.

Coauthor(s)

James Hale, MD  Staff Physician, Department of Orthopedic Surgery, Hospital for Joint Diseases

Disclosure: Nothing to disclose.

William L Jaffe, MD  Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases

William L Jaffe, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, Eastern Orthopaedic Association, and New York Academy of Medicine

Disclosure: Stryker Orthopaedics Consulting fee Speaking and teaching

David Scher, MD  Clinical Instructor, Department of Orthopedic Surgery, Hospital for Joint Diseases, New York University

Disclosure: Nothing to disclose.

Specialty Editor Board

B Sonny Bal, MD  Associate Professor, Department of Orthopedic Surgery, University of Missouri-Columbia School of Medicine

B Sonny Bal, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

B Sonny Bal, MD  Associate Professor, Department of Orthopedic Surgery, University of Missouri-Columbia School of Medicine

B Sonny Bal, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Dinesh Patel, MD, FACS  Associate Clinical Professor of Orthopedic Surgery, Harvard Medical School; Chief of Arthroscopic Surgery, Department of Orthopedic Surgery, Massachusetts General Hospital

Dinesh Patel, MD, FACS is a member of the following medical societies: American Academy of Orthopaedic Surgeons

Disclosure: Nothing to disclose.

Chief Editor

William L Jaffe, MD  Clinical Professor of Orthopedic Surgery, New York University School of Medicine; Vice Chairman, Department of Orthopedic Surgery, New York University Hospital for Joint Diseases

William L Jaffe, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American College of Surgeons, American Orthopaedic Association, Eastern Orthopaedic Association, and New York Academy of Medicine

Disclosure: Stryker Orthopaedics Consulting fee Speaking and teaching

References
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  2. Herzenberg JE, Branfoot T, Paley D, Violante FH. Femoral nailing to treat fractures after lengthening for congenital femoral deficiency in young children. J Pediatr Orthop B. Mar 2010;19(2):150-4. [Medline].

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