The successful treatment of Shepherd’s Crook Deformity in Fi
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Shepherd’s crook deformity refers to a distinctive abnormal
contour of the proximal femur in the setting of Fibrous Dysplasia. The decreasing neck shaft angle (coxa vara) and the rounded appearance as the bone deformed resembles that of a staff with a C-shaped end carried by shepherds. Fibrous dysplasia is a benign bone tumour in which abnormal tissue develops in place of normal bone. Bone lesions are characterized by woven ossified tissue and extensive marrow fibrosis which decrease the mechanical quality. As a consequence, fibrous dysplasia bone is fragile and patients have an increased risk of developing abnormalities, pain and pathological fractures. We report a case of a 16 year-old boy who has a shepherd’s crook deformity of the right femur secondary to fibrous dysplasia, who sustained a chronic fatigue fracture of the proximal femur and successfully treated by the Ilizarov technique.

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