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EPIPHYSIOLYSIS OR EPIPHYSEAL COXA ANTEVERTA
HENRY MILCH
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Associate Attending Orthopaedic Surgeon, Hospital for Joint Diseases
1937 by The Journal of Bone and Joint Surgery
The Journal of Bone & Joint Surgery.  1937; 19:97-116 
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Abstract

It is the author's opinion that so called epiphysiolysis is of the nature of a torsional fracture at the cervicocapital junction. The essential element in the production of the condition is the gradual and progressive anteversion of the neck of the femur. This is so characteristic that the disease should be renamed "coxa anteverta". The fundamental principle involved in the treatment of the disease lies in the prevention of the excess anteversion. This may be done by means of a brace with a pelvic-girdle attachment, in order to maintain internal rotation of the leg. In cases in which anteversion has proceeded to the point where the weight can no longer be supported and fracture with upward displacement of the shaft has occurred, reduction of the displacement under roentgenographic control and immobilization is recommended. The use of x-ray therapy for the purpose of premature ossification of the epiphyseal line is to be studied and reported upon at a later date.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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