Proximal Femoral Focal Deficiency (PFFD): More Than An Abnormal Hip

Christopher G. Anton; Kimberly E. Applegate; Thomas E. Kuivila; David C. Wilkes

doi:10.1055/s-2008-1080067

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 1999; 3(3): 215-225
DOI: 10.1055/s-2008-1080067

Proximal Femoral Focal Deficiency (PFFD): More Than An Abnormal Hip

Christopher G. Anton¹ , Kimberly E. Applegate² , Thomas E. Kuivila³ , David C. Wilkes⁴

¹Department of Radiology, Cincinnati Children's Hospital, Cincinnati, Ohio
²Cleveland Clinic Children's Hospital, Section of Pediatric Radiology, Cleveland, Ohio
³Cleveland Clinic Children's Hospital, Section of Orthopedics, Cleveland, Ohio
⁴Scottish Rite Hospital, Department of Radiology, Dallas, Texas

Abstract

ABSTRACT

As the name implies, proximal femoral focal deficiency (PFFD) is a failure in development of the proximal femur and acetabulum of varying degrees. This article reviews the classification schemes with illustrated examples. Clinical findings, associated anomalies, imaging, and treatment are discussed. Patients are classified by radiographs, often changing classes as the patient's skeleton matures. Magnetic resonance imaging (MRI) can aid in earlier and more accurate classification. The classification scheme exists to predict future function and the role of surgical intervention.

KEYWORDS

Pediatric - proximal femoral deficiency - pediatric - femoral focal deficiency - PFFD

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