{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:05Z","timestamp":1787755565045,"version":"build-2784847793"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 13-year, 6-month-old boy sustained a Delbet type III femoral neck fracture with postoperative femoral head avascular necrosis (AVN) and subsequent capital femoral physeal separation (CFPS). Preoperative angiography revealed a patent artery of the ligamentum teres to the femoral head epiphysis, allowing our patient to undergo a modified Dunn procedure to maintain this artery and preserve his native hip.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preoperative angiography allows for real-time identification of femoral head epiphyseal blood supply in patients with femoral head AVN complicated by CFPS and guides surgical treatment for hip preservation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00508","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T04:51:32Z","timestamp":1589259092000},"page":"e0508-e0508","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative Angiography Can Guide Treatment of Post\u2013Femoral Neck Fracture Capital Femoral Physeal Separation and Displacement"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1839-0209","authenticated-orcid":false,"given":"Jessica","family":"McGraw","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9188-2026","authenticated-orcid":false,"given":"Cody","family":"Beaver","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2534-8196","authenticated-orcid":false,"given":"Christian","family":"Douthit","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4878-222X","authenticated-orcid":false,"given":"Michel","family":"Diab","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1097\/BOT.0000000000000226","article-title":"Earlier time to reduction did not reduce rates of femoral head osteonecrosis in pediatric hip fractures","volume":"29","author":"Riley","year":"2015","journal-title":"J Orthop Trauma."},{"key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1097\/00005131-200605000-00005","article-title":"Risk factors for avascular necrosis after femoral neck fractures in 242 children: 25 Cincinnati cases and meta-analysis of 360 cases","volume":"20","author":"Moon","year":"2006","journal-title":"J Orthop Trauma."},{"issue":"8","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"2712","DOI":"10.1007\/s11999-014-4067-y","article-title":"Delayed slipped capital femoral epiphysis after treatment of femoral neck fracture in children","volume":"473","author":"Li","year":"2015","journal-title":"Clin Orthop Relat Res."},{"issue":"6","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"446","DOI":"10.1097\/00005131-200008000-00013","article-title":"Delayed separation of the capital femoral epiphysis after an ipsilateral transcervical fracture of the femoral neck","volume":"14","author":"Joseph","year":"2000","journal-title":"J Orthop Trauma."},{"key":"bib5-20230720","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1097\/00003086-197507000-00021","article-title":"Slipped capital femoral epiphysis following ipsilateral femoral fracture","volume":"110","author":"Ogden","year":"1975","journal-title":"Clin Orthop."},{"issue":"4","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1097\/BPO.0000000000000626","article-title":"A modification of the Dunn osteotomy with preservation of the ligamentum teres","volume":"37","author":"Bali","year":"2017","journal-title":"J Pediatr Orthop."},{"key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"941","DOI":"10.2106\/00004623-197456050-00007","article-title":"Changing patterns of proximal femoral vascularity","volume":"56","author":"Ogden","year":"1974","journal-title":"J Bone Joint Surg Am."},{"key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"961","DOI":"10.2106\/00004623-197658070-00011","article-title":"The arterial supply of the developing proximal end of the human femur","volume":"58","author":"Chung","year":"1976","journal-title":"J Bone Joint Surg Am."},{"key":"bib9-20230720","first-page":"185","article-title":"The evolution of the circulation in the developing femoral head and neck","volume":"77","author":"Wolcott","year":"1943","journal-title":"Surg Gynecol Obstet."},{"key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1302\/0301-620X.31B1.82","article-title":"Arterial supply to the femoral head and its clinical importance","volume":"31-B","author":"Tucker","year":"1949","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1302\/0301-620X.39B2.358","article-title":"The normal vascular anatomy of the human femoral head during growth","volume":"39-B","author":"Trueta","year":"1957","journal-title":"J Bone Joint Surg Br."},{"key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"545","DOI":"10.2106\/00004623-197153030-00011","article-title":"Arterial supply of the femoral head","volume":"53","author":"Wertheimer","year":"1971","journal-title":"J Bone Joint Surg Am."},{"key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1302\/0301-620X.42B1.97","article-title":"The vascular contribution to osteogenesis","volume":"42","author":"Trueta","year":"1960","journal-title":"J Bone Joint Surg Br."},{"issue":"2","key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1002\/ca.22660","article-title":"Ligament of the head of femur: a comprehensive review of its anatomy, embryology, and potential function","volume":"29","author":"Perumal","year":"2016","journal-title":"Clin Anat."},{"key":"bib15-20230720","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1097\/01241398-200109000-00021","article-title":"Vascular supply to the slipped capital femoral epiphysis","volume":"21","author":"Maeda","year":"2001","journal-title":"J Pediatr Orthop."},{"key":"bib16-20230720","first-page":"216","article-title":"Angiography in Perthes' disease","volume":"191","author":"de Carmargo","year":"1984","journal-title":"Clin Orthop Relat Res."},{"issue":"3","key":"bib17-20230720","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1302\/0301-620X.82B3.0820392","article-title":"The blood supply of the lateral epiphyseal arteries in Perthes' disease","volume":"82","author":"Atsumi","year":"2000","journal-title":"J Bone Joint Surg Br."},{"key":"bib18-20230720","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1097\/00003086-200105000-00027","article-title":"Revascularization of the artery of the ligamentum teres in Perthes disease","volume":"386","author":"Atsumi","year":"2001","journal-title":"Clin Orthop Relat Res."},{"issue":"11","key":"bib19-20230720","doi-asserted-by":"crossref","first-page":"1453","DOI":"10.1302\/0301-620X.95B11.32383","article-title":"The blood supply to the femoral head after posterior fracture\/dislocation of the hip, assessed by CT angiography","volume":"95-B","author":"Zlotorowicz","year":"2013","journal-title":"Bone Joint J."},{"key":"bib20-20230720","doi-asserted-by":"crossref","first-page":"1166","DOI":"10.1007\/s00247-013-2664-7","article-title":"A comparison of non-contrast and contrast-enhanced MRI in the initial stage of Legg-Calve-Perthes disease","volume":"43","author":"Kim","year":"2013","journal-title":"Pediatr Radiol."},{"issue":"14","key":"bib21-20230720","doi-asserted-by":"crossref","first-page":"1152","DOI":"10.2106\/JBJS.M.01221","article-title":"Perfusion MRI in early stage of Legg-Calve-Perthes disease to predict lateral pillar involvement: a preliminary study","volume":"96","author":"Kim","year":"2014","journal-title":"J Bone Joint Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:06Z","timestamp":1787751906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00508"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":21,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00508","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}