Unilateral Proximal Bifurcation of the Femur

Abstract

We present a case report of a boy with a unilateral bifurcation of the proximal femur with a bifid femoral neck and 2 femoral heads. The patient had no other musculoskeletal or neurovascular abnormalities. One femoral head articulated with the acetabulum but the nonarticulating, larger head was better developed. The articulating head and neck were resected and the nonarticulating head was reduced. This hip then continued to develop well. This is the first report of such a phenomenon in the scientific literature.

Duplicação total do fêmur: Relato de caso com 23 anos de seguimento

“…Osuji et al 7 reported a patient presenting proximal duplication of the femur who underwent excision of one of the heads and neck of the femur associated with a defeat osteotomy, Salter-type pelvic osteotomy, and adductor tenotomy due to the remaining 70°anteversion of the femoral head. Compared to the present case, complete excision of the femur was not an option, as the lateral part formed the lateral condyle of the femur, and the medial part, the head and neck of the femur.…”

Imaging features of lower limb malformations above the foot

“…The femur almost always bifurcates at its distal end [13]; only one case of proximal duplication (two femoral heads and necks) has been reported up to now [14]. Duplication of the femur results in a more or less pronounced shortening of the thigh.…”