{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:44:22Z","timestamp":1787755462641,"version":"build-2784847793"},"reference-count":22,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A healthy adolescent sustained an isolated fracture of the greater trochanter after falling from a height. He was treated nonoperatively. After 10 weeks of improvement, the pain recurred, and osteonecrosis of the femoral head was diagnosed. Core decompression and a bone-marrow injection were performed. Transient relief was achieved, followed by deterioration to end-stage hip arthritis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>To our knowledge, 19 other cases of isolated fractures of the greater trochanter in adolescents have been reported since 1905. All high-energy injuries (10 cases) progressed to osteonecrosis, independent of the intervention; none of the low-energy cases progressed to osteonecrosis. We advocate vigilance and early magnetic resonance imaging for these injuries to detect and treat osteonecrosis in its early stages.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00016","type":"journal-article","created":{"date-parts":[[2017,8,22]],"date-time":"2017-08-22T20:17:17Z","timestamp":1503433037000},"page":"e59-e59","source":"Crossref","is-referenced-by-count":1,"title":["Osteonecrosis of the Femoral Head and Hip Arthritis in an Adolescent Following an Isolated Fracture of the Greater Trochanter"],"prefix":"10.2106","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4450-6260","authenticated-orcid":false,"given":"Alexander","family":"Greenberg","sequence":"first","affiliation":[{"name":"Orthopaedic Surgery Complex, Hadassah Hebrew University Medical Center, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoram Alexander","family":"Weil","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Complex, Hadassah Hebrew University Medical Center, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamir","family":"Tsohar","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Complex, Hadassah Hebrew University Medical Center, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ron","family":"Lamdan","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Complex, Hadassah Hebrew University Medical Center, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meir","family":"Liebergall","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Complex, Hadassah Hebrew University Medical Center, Jerusalem, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2017,8,23]]},"reference":[{"issue":"9","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"1257","DOI":"10.1007\/s00402-015-2282-y","article-title":"Outcome of transtrochanteric rotational osteotomy for posttraumatic osteonecrosis of the femoral head with a mean follow-up of 12.3 years","volume":"135","author":"Sonoda","year":"2015","journal-title":"Arch Orthop Trauma Surg."},{"issue":"1","key":"bib2-20230712","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1097\/00005131-199302000-00004","article-title":"Limb fracture pattern in different pediatric age groups: a study of 3,350 children","volume":"7","author":"Cheng","year":"1993","journal-title":"J Orthop Trauma."},{"issue":"3","key":"bib4-20230712","doi-asserted-by":"crossref","first-page":"581","DOI":"10.2214\/ajr.137.3.581","article-title":"Avulsion injuries of the pelvis and proximal femur","volume":"137","author":"Fernbach","year":"1981","journal-title":"AJR Am J Roentgenol."},{"issue":"2","key":"bib5-20230712","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/BF00563198","article-title":"Avulsion fractures of the pelvis in children: a report of 32 fractures and their outcome","volume":"23","author":"Sundar","year":"1994","journal-title":"Skeletal Radiol."},{"issue":"9","key":"bib6-20230712","doi-asserted-by":"crossref","first-page":"1423","DOI":"10.2106\/00004623-199509000-00019","article-title":"Osteonecrosis of the femoral head after intramedullary nailing of a fracture of the femoral shaft in an adolescent. 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Epiphyseal separation of the great trochanter with report of a case","volume":"43","author":"Thienhaus","year":"1906","journal-title":"Ann Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201707030-00018","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:00Z","timestamp":1787751780000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201707030-00018"}},"subtitle":["A Case Report and Review of the Literature"],"short-title":[],"issued":{"date-parts":[[2017,8,23]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.17.00016","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,8,23]]}}}