Pediatric patient with a bilateral Salter-Harris II fracture and slipped capital femoral epiphysis secondary to autosomal recessive osteopetrosis
Treatment of femoral neck fractures secondary to osteopetrosis is an uncertain and puzzled decision. Experience in the treatment, especially in the pediatric population, is scarcely reported. The duration of conservative treatment is prolonged and poses the risks of non-union and development of coxa...
Saved in:
Published in | Die Orthopädie Vol. 51; no. 12; pp. 1015 - 1021 |
---|---|
Main Authors | , , , , |
Format | Journal Article |
Language | English |
Published |
Heidelberg
Springer Medizin
01.12.2022
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Treatment of femoral neck fractures secondary to osteopetrosis is an uncertain and puzzled decision. Experience in the treatment, especially in the pediatric population, is scarcely reported. The duration of conservative treatment is prolonged and poses the risks of non-union and development of coxa vara deformity. The recommended treatment is closed reduction and internal fixation; however, surgery on osteopetrotic bone is challenging due to defective bone marrow function, delayed consolidation and higher risk of intraoperative fractures. Slipped capital femoral epiphysis secondary to osteopetrosis is very rarely reported. This article presents the case of a 5-year-old female patient with rapidly deteriorating physical function due to bilateral proximal femoral Salter-Harris type II fractures with associated slippage of the growth plates secondary to confirmed autosomal recessive osteopetrosis. Operative treatment was performed in a tertiary level orthopedic center with closed reduction and internal fixation with cannulated screws. A loss of fixation with coxa vara deformity was seen on the left side 7 months postoperatively with increasing pain. A revision surgery with reosteosynthesis and a valgus osteotomy was thus performed which showed good subjective and objective results 1 year postoperatively with complete bony union. |
---|---|
AbstractList | Treatment of femoral neck fractures secondary to osteopetrosis is an uncertain and puzzled decision. Experience in the treatment, especially in the pediatric population, is scarcely reported. The duration of conservative treatment is prolonged and poses the risks of non-union and development of coxa vara deformity. The recommended treatment is closed reduction and internal fixation; however, surgery on osteopetrotic bone is challenging due to defective bone marrow function, delayed consolidation and higher risk of intraoperative fractures. Slipped capital femoral epiphysis secondary to osteopetrosis is very rarely reported. This article presents the case of a 5-year-old female patient with rapidly deteriorating physical function due to bilateral proximal femoral Salter-Harris type II fractures with associated slippage of the growth plates secondary to confirmed autosomal recessive osteopetrosis. Operative treatment was performed in a tertiary level orthopedic center with closed reduction and internal fixation with cannulated screws. A loss of fixation with coxa vara deformity was seen on the left side 7 months postoperatively with increasing pain. A revision surgery with reosteosynthesis and a valgus osteotomy was thus performed which showed good subjective and objective results 1 year postoperatively with complete bony union. |
Author | Schwarze, Martin Hagmann, Sébastien Steinle, Verena Götze, Marco Jaber, Ayham |
Author_xml | – sequence: 1 givenname: Ayham surname: Jaber fullname: Jaber, Ayham email: ayham.jaber@med.uni-heidelberg.de organization: Department of Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital – sequence: 2 givenname: Martin surname: Schwarze fullname: Schwarze, Martin organization: Department of Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital – sequence: 3 givenname: Verena surname: Steinle fullname: Steinle, Verena organization: Department of Diagnostic and interventional Radiology, Heidelberg University Hospital – sequence: 4 givenname: Marco surname: Götze fullname: Götze, Marco organization: Department of Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital – sequence: 5 givenname: Sébastien surname: Hagmann fullname: Hagmann, Sébastien organization: Department of Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/35802155$$D View this record in MEDLINE/PubMed |
BookMark | eNo9kV1OAyEUhYmpsbV2Az4YNjAKwzA_j6ZR26SJJuozYZg7FjMzEKDabsMVuBZXJrXqA-He8J2bczmnaDSYARA6p-SSElJceUIoSxOSxpOlRZlsj9AkLRhNCsrZ6L_O-BjNvNc1yaoyoznnJ2jMeElSyvkEfTxAo2VwWmErg4Yh4Hcd1lh-fda6kwGc7PCj7GKRLKRz2uPlErdOqrBxgOXQYN9pa6HBSlodIt1Cb_YqsNqudz4qPCgzNNLtcDBYboLxpo-AAwXR2Rtg4wMYC8GZiJ-h41Z2Hma_9xQ93948zRfJ6v5uOb9eJYpVRUikqklO8ypnJC9rkFUFTZlWigJnOYWyib0qFdQNS-PuWZWW0KoWFGV1DhVnU3RxmGs3dQ-NsE730aP4-5wIsAPg49PwAk68mo0boidBidinIA4piJiC-ElBbNk3Nx1_nA |
Cites_doi | 10.1007/s002560050430 10.1007/s00402-007-0392-x 10.1155/2013/707343 10.1155/2014/891963 10.1016/s2213-8587(20)30307-7 10.1097/00003086-199309000-00005 10.1111/j.1600-0714.1992.tb01032.x 10.1186/1750-1172-4-5 10.1097/01241398-199901000-00026 10.1016/j.jcot.2012.09.007 10.1007/s00198-011-1878-5 10.1097/01.bot.0000145971.56642.12 10.1210/jc.2017-01127 10.1016/j.amsu.2018.10.038 10.1302/0301-620x.102b8.Bjj-2020-0431.R1 10.2106/00004623-196749050-00001 10.17219/dmp/119998 10.2147/IJGM.S289265 10.1097/00003086-199411000-00014 10.1016/j.bone.2013.04.007 10.1038/s41413-019-0055-x 10.1093/jhps/hnx032 10.1007/s00402-002-0391-x 10.1182/blood-2015-01-625541 10.1097/01241398-198507000-00020 10.1136/bcr-2020-236891 10.1007/s00264-018-4167-5 10.1002/jbmr.4037 10.1046/j.1365-2990.2003.00474.x |
ContentType | Journal Article |
Copyright | The Author(s) 2022. korrigierte Publikation 2022 2022. The Author(s). |
Copyright_xml | – notice: The Author(s) 2022. korrigierte Publikation 2022 – notice: 2022. The Author(s). |
DBID | C6C CGR CUY CVF ECM EIF NPM |
DOI | 10.1007/s00132-022-04278-x |
DatabaseName | SpringerOpen Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: C6C name: SpringerOpen url: http://www.springeropen.com/ sourceTypes: Publisher – sequence: 2 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 3 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
DocumentTitleAlternate | Kind mit beidseitiger Salter-Harris-II-Fraktur und Epiphyseolysis capitis femoris bei autosomal-rezessiver Osteopetrose |
DocumentTitle_FL | Kind mit beidseitiger Salter-Harris-II-Fraktur und Epiphyseolysis capitis femoris bei autosomal-rezessiver Osteopetrose |
EISSN | 2731-7153 |
EndPage | 1021 |
ExternalDocumentID | 35802155 10_1007_s00132_022_04278_x |
Genre | Journal Article Case Reports |
GrantInformation_xml | – fundername: Ruprecht-Karls-Universität Heidelberg (1026) |
GroupedDBID | ABJNI ALMA_UNASSIGNED_HOLDINGS C6C 0R~ 406 AACDK AAJBT AASML AATNV ABAKF ACAOD ACDTI ACZOJ AEMSY AESKC AGQEE AGRTI AIGIU AMXSW BGNMA CGR CUY CVF DDRTE EBD EBS ECM EIF EMOBN FIGPU IWAJR JZLTJ M4Y NPM NPVJJ NU0 ROL RSV SJYHP SOJ SV3 |
ID | FETCH-LOGICAL-c397t-acb0616963068bea99ed829c1e5361e8d9edc8cebd320494928efcfec13b6e953 |
IEDL.DBID | C6C |
ISSN | 2731-7145 |
IngestDate | Sat Sep 28 08:18:55 EDT 2024 Sat Dec 16 12:06:18 EST 2023 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 12 |
Keywords | Femoral neck fracture Growth plate Osteosynthese Osteotomie Pathologic fracture Pathologische Fraktur Kongenitale Erkrankung Osteotomy Osteosynthesis Wachstumsfuge Congenital disease Schenkelhalsfraktur |
Language | English |
License | 2022. The Author(s). |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c397t-acb0616963068bea99ed829c1e5361e8d9edc8cebd320494928efcfec13b6e953 |
OpenAccessLink | https://doi.org/10.1007/s00132-022-04278-x |
PMID | 35802155 |
PageCount | 7 |
ParticipantIDs | pubmed_primary_35802155 springer_journals_10_1007_s00132_022_04278_x |
PublicationCentury | 2000 |
PublicationDate | 2022-12-01 |
PublicationDateYYYYMMDD | 2022-12-01 |
PublicationDate_xml | – month: 12 year: 2022 text: 2022-12-01 day: 01 |
PublicationDecade | 2020 |
PublicationPlace | Heidelberg |
PublicationPlace_xml | – name: Heidelberg – name: Germany |
PublicationTitle | Die Orthopädie |
PublicationTitleAbbrev | Orthopädie |
PublicationTitleAlternate | Orthopadie (Heidelb) |
PublicationYear | 2022 |
Publisher | Springer Medizin |
Publisher_xml | – name: Springer Medizin |
References | Albers-Schonberg (CR1) 1904; 51 Shapiro (CR8) 1993; 294 de Palma, Tulli, Maccauro, Sabetta, del Torto (CR27) 1994; 308 Aslan, Baykal, Uysal, Atay, Kirdemir, Baydar (CR29) 2014 Kumar, Dhammi, Shahi, Zafar (CR31) 2020 Maurizi, Capulli, Curle, Patel, Ucci, Côrtes (CR9) 2019; 7 Ganz, Grappiolo, Mast, Matta, Turchetto (CR33) 2017; 4 Hua, Liu, Wang (CR18) 2020; 13 Song, Kim (CR21) 2005; 19 Kant, Sharda, Bhowate (CR5) 2013 Chawla, Kwek (CR20) 2019; 43 Kumar, Jain, Lal, Arya, Sinha (CR22) 2012; 3 Krieg, Speth, Won, Brook (CR30) 2007; 127 Kinik, Polat, Yildiz, Mergen (CR25) 2002; 122 Greene, Torre (CR28) 1985; 5 Cadosch, Gautschi, Brockamp, Zellweger (CR17) 2009; 47 Stark, Savarirayan (CR4) 2009; 4 Southwick (CR26) 1967; 49 de Baat, Heijboer, de Baat (CR3) 2005; 112 Ott, Fischer, Schröter, Richter, Gupta, Verma (CR6) 2013; 55 Steward (CR12) 2003; 29 Hasan, Pathan, Naqi, Aqueel, Hashmi, Lakdawala (CR7) 2018; 36 Usta, Gulec, Karaman, Erdem, Emral, Urgancı (CR13) 2012; 22 Droz-Desprez, Azou, Bordigoni, Bonnaure-Mallet (CR11) 1992; 21 Armstrong, Newfield, Gillespie (CR23) 1999; 19 Orchard, Fasth, Le Rademacher, He, Boelens, Horwitz (CR15) 2015; 126 Wu, Econs, DiMeglio, Insogna, Levine, Orchard (CR10) 2017; 102 Shapiro, Fishleder, Stepensky, Simanovsky, Goldman, Lamdan (CR16) 2020; 35 Yiğit, Arslan, Akar, Şahin (CR32) 2020; 102–b Gresky, Sokiranski, Witzmann, Petiti (CR2) 2020; 8 Pangrazio, Caldana, Iacono, Mantero, Vezzoni, Villa (CR14) 2012; 23 Sallies, Titinchi, Morkel (CR19) 2020; 57 Cooper, Sprigg (CR24) 1998; 27 35948650 - Orthopadie (Heidelb). 2022 Aug 10 |
References_xml | – volume: 27 start-page: 515 issue: 9 year: 1998 end-page: 517 ident: CR24 article-title: Slipped capital femoral epiphysis in a patient with type II autosomal dominant osteopetrosis publication-title: Skelet Radiol doi: 10.1007/s002560050430 contributor: fullname: Sprigg – volume: 127 start-page: 967 issue: 10 year: 2007 end-page: 970 ident: CR30 article-title: Conservative management of bilateral femoral neck fractures in a child with autosomal dominant osteopetrosis publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-007-0392-x contributor: fullname: Brook – year: 2013 ident: CR5 article-title: Clinical and radiological findings of autosomal dominant osteopetrosis type II: a case report publication-title: Case Rep Dent doi: 10.1155/2013/707343 contributor: fullname: Bhowate – year: 2014 ident: CR29 article-title: Surgical treatment of osteopetrosis-related femoral fractures: two case reports and literature review publication-title: Case Rep Orthop doi: 10.1155/2014/891963 contributor: fullname: Baydar – volume: 8 start-page: 806 issue: 10 year: 2020 end-page: 808 ident: CR2 article-title: The oldest case of osteopetrosis in a human skeleton: exploring the history of rare diseases publication-title: Lancet Diabetes Endocrinol doi: 10.1016/s2213-8587(20)30307-7 contributor: fullname: Petiti – volume: 294 start-page: 34 year: 1993 end-page: 44 ident: CR8 article-title: Osteopetrosis. Current clinical considerations publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-199309000-00005 contributor: fullname: Shapiro – volume: 21 start-page: 422 issue: 9 year: 1992 end-page: 425 ident: CR11 article-title: Infantile osteopetrosis: a case report on dental findings publication-title: J Oral Pathol Med doi: 10.1111/j.1600-0714.1992.tb01032.x contributor: fullname: Bonnaure-Mallet – volume: 4 start-page: 5 year: 2009 ident: CR4 article-title: Osteopetrosis publication-title: Orphanet J Rare Dis doi: 10.1186/1750-1172-4-5 contributor: fullname: Savarirayan – volume: 19 start-page: 122 issue: 1 year: 1999 end-page: 132 ident: CR23 article-title: Orthopedic management of osteopetrosis: results of a survey and review of the literature publication-title: J Pediatr Orthop doi: 10.1097/01241398-199901000-00026 contributor: fullname: Gillespie – volume: 3 start-page: 103 issue: 2 year: 2012 end-page: 106 ident: CR22 article-title: Metachronous bilateral subtrochanteric fracture of femur in an osteopetrotic bone: a case report with technical note publication-title: J Clin Orthop Trauma doi: 10.1016/j.jcot.2012.09.007 contributor: fullname: Sinha – volume: 23 start-page: 2713 issue: 11 year: 2012 end-page: 2718 ident: CR14 article-title: Autosomal recessive osteopetrosis: report of 41 novel mutations in the TCIRG1 gene and diagnostic implications publication-title: Osteoporos Int doi: 10.1007/s00198-011-1878-5 contributor: fullname: Villa – volume: 19 start-page: 494 issue: 7 year: 2005 end-page: 497 ident: CR21 article-title: Femoral neck fracture in a child with autosomal-dominant osteopetrosis: failure of spica cast treatment and successful outcome by internal fixation publication-title: J Orthop Trauma doi: 10.1097/01.bot.0000145971.56642.12 contributor: fullname: Kim – volume: 102 start-page: 3111 issue: 9 year: 2017 end-page: 3123 ident: CR10 article-title: Diagnosis and management of osteopetrosis: consensus guidelines from the osteopetrosis working group publication-title: J Clin Endocrinol Metab doi: 10.1210/jc.2017-01127 contributor: fullname: Orchard – volume: 36 start-page: 191 year: 2018 end-page: 198 ident: CR7 article-title: Inheritance patterns, challenges, and outcomes of fracture management in osteopetrosis patients. CASE series and review of pertinent literature publication-title: Ann Med Surg doi: 10.1016/j.amsu.2018.10.038 contributor: fullname: Lakdawala – volume: 102–b start-page: 1082 issue: 8 year: 2020 end-page: 1087 ident: CR32 article-title: Mid-term outcomes of surgical treatment in fractures in patients with osteopetrosis publication-title: Bone Joint J doi: 10.1302/0301-620x.102b8.Bjj-2020-0431.R1 contributor: fullname: Şahin – volume: 49 start-page: 807 issue: 5 year: 1967 end-page: 835 ident: CR26 article-title: Osteotomy through the lesser trochanter for slipped capital femoral epiphysis publication-title: J Bone Joint Surg Am doi: 10.2106/00004623-196749050-00001 contributor: fullname: Southwick – volume: 57 start-page: 327 issue: 3 year: 2020 end-page: 332 ident: CR19 article-title: Osteopetrosis complicated by osteomyelitis of the maxilla: a rare case report and review of the literature publication-title: Dent Med Probl doi: 10.17219/dmp/119998 contributor: fullname: Morkel – volume: 13 start-page: 1551 year: 2020 end-page: 1557 ident: CR18 article-title: Subtrochanteric femoral fracture in a patient with osteopetrosis: treated with internal fixation and complicated by intraoperative femoral neck fracture publication-title: Int J Gen Med doi: 10.2147/IJGM.S289265 contributor: fullname: Wang – volume: 308 start-page: 85 year: 1994 end-page: 89 ident: CR27 article-title: Fracture callus in osteopetrosis publication-title: Clin Orthop Relat Res doi: 10.1097/00003086-199411000-00014 contributor: fullname: del Torto – volume: 51 start-page: 365 year: 1904 ident: CR1 article-title: Röntgenbilder einer seltenen Knochenkrankung publication-title: Munch Med Wochenschr contributor: fullname: Albers-Schonberg – volume: 112 start-page: 497 issue: 12 year: 2005 end-page: 503 ident: CR3 article-title: Osteopetrosis. Classification, etiology, treatment options and implications for oral health publication-title: Ned Tijdschr Tandheelkd contributor: fullname: de Baat – volume: 55 start-page: 292 issue: 2 year: 2013 end-page: 297 ident: CR6 article-title: Severe neuronopathic autosomal recessive osteopetrosis due to homozygous deletions affecting OSTM1 publication-title: Bone doi: 10.1016/j.bone.2013.04.007 contributor: fullname: Verma – volume: 7 start-page: 17 year: 2019 ident: CR9 article-title: Extra-skeletal manifestations in mice affected by Clcn7-dependent autosomal dominant osteopetrosis type 2 clinical and therapeutic implications publication-title: Bone Res doi: 10.1038/s41413-019-0055-x contributor: fullname: Côrtes – volume: 4 start-page: 269 issue: 4 year: 2017 end-page: 275 ident: CR33 article-title: Technical particularities of joint preserving hip surgery in osteopetrosis publication-title: J Hip Preserv Surg doi: 10.1093/jhps/hnx032 contributor: fullname: Turchetto – volume: 122 start-page: 302 issue: 5 year: 2002 end-page: 305 ident: CR25 article-title: Slipped capital femoral epiphysis in osteopetrosis: an unusual case publication-title: Arch Orthop Trauma Surg doi: 10.1007/s00402-002-0391-x contributor: fullname: Mergen – volume: 126 start-page: 270 issue: 2 year: 2015 end-page: 276 ident: CR15 article-title: Hematopoietic stem cell transplantation for infantile osteopetrosis publication-title: Blood doi: 10.1182/blood-2015-01-625541 contributor: fullname: Horwitz – volume: 5 start-page: 483 issue: 4 year: 1985 end-page: 485 ident: CR28 article-title: Femoral neck fracture in a child with autosomal dominant osteopetrosis publication-title: J Pediatr Orthop doi: 10.1097/01241398-198507000-00020 contributor: fullname: Torre – year: 2020 ident: CR31 article-title: Paediatric bilateral femoral neck fractures in osteopetrosis treated conservatively publication-title: BMJ Case Rep doi: 10.1136/bcr-2020-236891 contributor: fullname: Zafar – volume: 22 start-page: 421 issue: 3 year: 2012 end-page: 424 ident: CR13 article-title: A case report of malignant infantile osteopetrosis publication-title: Iran J Pediatr contributor: fullname: Urgancı – volume: 43 start-page: 1297 issue: 6 year: 2019 end-page: 1302 ident: CR20 article-title: Fractures in patients with osteopetrosis, insights from a single institution publication-title: Int Orthop doi: 10.1007/s00264-018-4167-5 contributor: fullname: Kwek – volume: 35 start-page: 1645 issue: 9 year: 2020 end-page: 1651 ident: CR16 article-title: Skeletal changes after hematopoietic stem cell transplantation in osteopetrosis publication-title: J Bone Miner Res doi: 10.1002/jbmr.4037 contributor: fullname: Lamdan – volume: 29 start-page: 87 issue: 2 year: 2003 end-page: 97 ident: CR12 article-title: Neurological aspects of osteopetrosis publication-title: Neuropathol Appl Neurobiol doi: 10.1046/j.1365-2990.2003.00474.x contributor: fullname: Steward – volume: 47 start-page: 131 issue: 4 year: 2009 end-page: 133 ident: CR17 article-title: Osteopetrosis—a challenge for the orthopaedic surgeon publication-title: S Afr J Surg contributor: fullname: Zellweger |
SSID | ssib049841655 ssib051605540 ssib048743297 ssib050979218 ssib050483796 ssib053393872 ssib050600880 ssj0003220048 |
Score | 2.2760117 |
Snippet | Treatment of femoral neck fractures secondary to osteopetrosis is an uncertain and puzzled decision. Experience in the treatment, especially in the pediatric... |
SourceID | pubmed springer |
SourceType | Index Database Publisher |
StartPage | 1015 |
SubjectTerms | Child Child, Preschool Chiropractic Medicine Conservative Orthopedics Coxa Vara - diagnostic imaging Female Femoral Neck Fractures - diagnostic imaging Fracture Fixation, Internal - methods Humans Kasuistiken Medicine Medicine & Public Health Orthopedics Osteopetrosis - complications Slipped Capital Femoral Epiphyses - diagnostic imaging Sports Medicine Surgical Orthopedics Traumatic Surgery |
Title | Pediatric patient with a bilateral Salter-Harris II fracture and slipped capital femoral epiphysis secondary to autosomal recessive osteopetrosis |
URI | https://link.springer.com/article/10.1007/s00132-022-04278-x https://www.ncbi.nlm.nih.gov/pubmed/35802155 |
Volume | 51 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3NatwwEBYlgdJL6X-TtkGHHitYyZItHZOly6awS6EN5Gb0M4aFdL2svaF9jTxBn6VP1hmtE4fQSy_2RQehGc18o5n5hrGP4CcedSGIiYsYoCQHwoZGChWMlVFrrTw1Jy-W5fxCf7k0lwNNDvXCPMjfE9knxkuCas7zVAiBePEQfXBF2jwtp7e6g7hbF2rMiGlH-bSx59Jk6vSRWo549Sb3dBf9ZuXUaKeNRJxvRh4UREWusHkWFDp8KSqpzdCD8-9t3vNoD1Ks2XPNnrGnA-Tkp3sdec4ewfoFe7wYkuov2c3duA4-sKxyep3l_s_vsLry1KJ8xb_ltLqY-y1aBX5-zhtqr9ptgft14ghWNxtIPPo8hIQ3VL-Lf9is8tNJxzsKvJPf_uJ9y_2ub7v2By5Ae0t1uNfAqdmkRQiPXnvVvWIXs8_fp3MxjGoQEQFNL3wMCAxKvM2T0gbwzkGyCsUPpiglWNSBFG2EkApFjDROWWhiA1EWoQRnitfsYN2u4S3jaAc8RnUuVA1oHSuXpNNN6aWFpL1KR-zN_mDrzZ6Po6ZMLiIXc8Q-3Z50PdzErr6jZc4SqlFCdZZQ_fP4_5a_Y08UyTeXsrxnB_12Bx8QkPThhB2ezs7OlidZI_G7_Lr4C86V1PE |
link.rule.ids | 314,780,784,27924,27925,41120,42189,51576 |
linkProvider | Springer Nature |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3NbhMxELZQkYALavlrKW194Iil2Gtv7GMVUSXQ9EIr9bbyz6wUqWSj7AbBa_AEPAtP1hln260qLpz24sPKM575xuPvG8Y-gh959IUgRi5igZIcCBtqKVQwVkattfJETp5flNMr_eXaXPcyOcSFedS_J7FPrJcEvTnPUyEE4sWnGvMSefCknNz5DuJuXaihI6Yd9dMGzqXJ0umDtBzp6o0e-C7mzbFTQ5w2EnG-GXRQEBW5wuZZUJjwpRhLbXoOzr9_80FGe9RizZnrbJe97CEnP936yB57AstX7Nm8b6q_Zr_vx3XwXmWV0-0s93__hMWNJ4ryDf-W2-pi6tcYFfhsxmuiV23WwP0ycQSrqxUkHn0eQsJrer-LX1gt8tVJy1sqvJNf_-Jdw_2ma9rmOy7AeEvvcH8AJ7JJgxAes_aifcOuzj5fTqaiH9UgIgKaTvgYEBiUeJpHpQ3gnYNkFZofTFFKsOgDKdoIIRWKFGmcslDHGqIsQgnOFG_ZzrJZwj7jGAc8VnUujGvQOo5dkk7XpZcWkvYqHbB3242tVls9joo6uYhczAH7dLfTVX8S2-peljlbqEILVdlC1c_3_7f8hD2fXs7Pq_PZxddD9kKRrfOzlg9sp1tv4AjBSReOs1feAjnE1VM |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwlV3NbtQwELZQkSouiJa_Qn984IjVtWNn7SNautqltEKCSr1F_plIK5Uk2mRR-xo8Ac_CkzH2ZjcrxIVTLj5EnvHMZ8983xDyDuzIoi84NjIeLyjBANOu5Ew4pbmXUgobyclX1_nsRn66Vbc7LP7U7b4pSa45DVGlqerOm1Ceb4lvqUTAYid6mhXBEEU-lggd4vCGST7ZeBSicZmJoU4mTayyDUxMlQTVB8G5qLY32vFozKZjI4borTiifzWooyBWMplOE6IQBnA25lL1zJx__-ZOnvur8Jry2fQZedoDUfph7TkH5BFUh2T_qi-1Pyc_t0M8aK-9SuObLbW_f7nFnY3E5Tv6NRXb2cwuMVbQ-ZyWkXS1WgK1VaAIYZsGAvU2jSahZezqxS80i_Sg0tI2XseDXT7QrqZ21dVt_R0XYBSO3bk_gEYKSo3AHnP5on1BbqYX3yYz1g9wYB5hTsesdwgXcjzjo1w7sMZA0AKdAlSWc9DoGcFrDy5kIurUGKGh9CV4nrkcjMpekr2qruA1oRgdLN71jBuXIKUfm8CNLHPLNQRpRTgir9YbWzRrlY4i1ncRz6gj8n6z00V_PttiK9acLFSghYpkoeL-zf8tPyP7Xz5Oi8_z68u35ImIpk69Lsdkr1uu4AQRS-dOk1P-AfDu3ZE |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Pediatric+patient+with+a%C2%A0bilateral+Salter-Harris+II+fracture+and+slipped+capital+femoral+epiphysis+secondary+to+autosomal+recessive+osteopetrosis&rft.jtitle=Die+Orthop%C3%A4die&rft.au=Jaber%2C+Ayham&rft.au=Schwarze%2C+Martin&rft.au=Steinle%2C+Verena&rft.au=G%C3%B6tze%2C+Marco&rft.date=2022-12-01&rft.pub=Springer+Medizin&rft.issn=2731-7145&rft.eissn=2731-7153&rft.volume=51&rft.issue=12&rft.spage=1015&rft.epage=1021&rft_id=info:doi/10.1007%2Fs00132-022-04278-x&rft.externalDocID=10_1007_s00132_022_04278_x |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=2731-7145&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=2731-7145&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=2731-7145&client=summon |