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Journal of Orthopedic Education

Volume  2, Issue 1,  January - June 2016, Pages 29-32
 

Case Report

Shepherd’s Crook Deformity of Mono-ostotic Fibrous Dysplasia Treated with Corrective Osteotomy and 95 Degree Hip Screw

Pradeep Choudhari*, Hemant Mandovra**

*Professor in Department of Orthopaedics & Traumatology, Sri Aurobindo Institute of Medical Sciences (SAIMS), Indore, M.P.India. **Consulting Orthopaedic Surgeon Indore, Madhya Pradesh, India.

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.2116.7

Abstract

 Fibrous dysplasia, a condition in which the skeleton fails to develop normally, is characterized by fibroblastic stroma and immature bone. Bowing of the long bones occurs frequently and stress fractures often result. Shepherd’s crook deformity of hip is a characteristic feature of fibrous dysplasia. The goal of its treatment is to obtain normal walking ability and relieve pain due to pathologic fracture secondary to the deformity; however, correction of the deformity is a surgical challenge. We present 2 cases of Shepherd’s Crook deformity treated with corrective osteotomy and a 95 degree Hip screw. Both cases showed good bone healing and no recurrent deformity. The gross deformities were corrected, and both patients were pain-free after operation.

Keywords: Corrective Osteotomy; 95 Degree Hip Screw; Fibrous Dysplasia; Shepherd’s Crook Deformity.


Corresponding Author : Pradeep Choudhari*