Coxa Profunda- A Neglected Entity in Children with HIP Pathology?
Lorena Nincă*, Andreea Nincă, Amalia Teodora Vancea, Daniela Profir, Iulia Maria Belc, Doinița Oprea, Mădălina Gabriela Iliescu
ABSTRACT
Coxa profunda is a less commonly recognized anatomical variation of the hip joint, defined radiographically by medial extension of the acetabular fossa beyond the ilioischial line. Traditionally regarded as a marker of acetabular overcoverage and pincer-type femoroacetabular impingement (FAI), its interpretation has been challenged in recent years, with increasing evidence suggesting alternative morphological and biomechanical implications.
We present the case of an 11-year-old girl with a history of hip trauma, subsequently diagnosed with slipped capital femoral epiphysis (SCFE) and radiographic coxa profunda. The patient underwent surgical treatment and later two structured rehabilitation programs. Clinical and functional assessments revealed gradual improvements in joint mobility, muscle balance, and gait stability, despite persistent deficits.
This case underscores the importance of recognizing coxa profunda as a potential contributor to hip dysfunction in pediatric patients, particularly in posttraumatic contexts, and highlights the role of individualized rehabilitation in optimizing functional outcomes.
