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Very typical findings are the largely horizontal, irregularly plasia of the Ribbing type is not too good if a flattened, shaped acetabula and the broad iliac wings widened femoral head with acetabular changes is present on completion of growth. It is associated with a mixed inheritance pattern, being autol-dominant The Ribbing and Meyer types only affect the hips and are in most cases and, more rarely, autol-recessive. Malignant change has not been de- involved, the diaphysis or metaphysis is also invariably scribed. For psycho- dynamic therapy to warrant serious consideration, attention needs to be given to standardization of treatment protocols and randomized compari- son to alternate treatment strategies. Its asymmetrical Clinical features advance determines the fracture pattern: the earlier the Localized pain, often accompanied by pronounced peri- fracture, the greater the anterolateral fragment, whose malleolar swelling. Associated anomalies The foot is almost always affected to a varying extent by the condition.

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