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Fracture of the femoral neck in a child.

Dr. Butler: The patient is a 10-year-old girl who fell out of a tree. She experienced immediate pain in the right hip, but there were no other complaints. She was taken to the emergency room where a complete examination failed to disclose injury other than the fracture of the right femoral neck shown in Fig 1. The nervous and circulatory systems in the involved extremity were normal. We are privileged today to have the assistant director of the Newington (Conn) Children's Hospital to discuss this difficult problem. Discussion Dr. Cary: The injury demonstrated is a displaced fracture of the base of the neck of the femur in a 10-year-old girl. In view of the reported high incidence of complications of fracture healing, growth disturbance and vascular impairment of the proximal fragment, this must be considered a difficult fracture problem, with guarded prognosis. The key to understanding these difficulties, as well