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Slip capital femoral epiphysis

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https://www.readbyqxmd.com/read/30294369/mri-in-idiopathic-stable-slipped-capital-femoral-epiphysis-evaluation-of-contralateral-pre-slip
#1
J Balch Samora, B Adler, S Druhan, S A Brown, J Erickson, W P Samora, K E Klingele
Purpose: Early diagnosis and treatment of slipped capital femoral epiphysis (SCFE) is important to prevent slip progression and avoid complications. We sought to determine if MRI findings in patients with unilateral SCFE could indicate 'pre-slip' or predict future SCFE in the contralateral hip. Methods: A prospective study evaluated patients with unilateral SCFE over a two-year period. MRI of the asymptomatic hip was performed within the perioperative period. Patients were followed with radiographs until a contralateral slip occurred or until physeal closure...
October 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/30294368/acetabular-morphology-in-slipped-capital-femoral-epiphysis-comparison-at-treatment-onset-and-skeletal-maturity
#2
D A Maranho, A Davila-Parrilla, P E Miller, Y-J Kim, E N Novais, M B Millis
Purpose: To investigate changes in acetabular morphology during the follow-up of slipped capital femoral epiphysis (SCFE) and search for factors associated with acetabular dysplasia at skeletal maturity. Methods: We evaluated 108 patients with unilateral SCFE (mean age at slip, 12.3 years sd 1.7) to skeletal maturity, with a minimum follow-up of two years (median 4.5 years; interquartile range 3.2 to 6.2). Acetabular parameters obtained from initial and most recent radiographs included the lateral centre-edge angle (LCEA), Tönnis angle (TA) and acetabular depth-width ratio (ADR)...
October 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/30294367/outcomes-after-slipped-capital-femoral-epiphysis-a-population-based-study-with-three-year-follow-up
#3
B Herngren, M Stenmarker, K Enskär, G Hägglund
Purpose: To evaluate outcomes three years after treatment for slipped capital femoral epiphysis (SCFE): development of avascular necrosis (AVN), subsequent surgery, hip function and the contralateral hip. Methods: This prospective cohort study included a total national population of 379 children treated for SCFE between 2007 and 2013. A total of 449 hips treated for SCFE and 151 hips treated with a prophylactic fixation were identified. The Barnhöft questionnaire, a valid patient-reported outcome measure (PROM), was used...
October 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/30294366/trends-in-slipped-capital-femoral-epiphysis-is-the-rate-declining
#4
I M Gutman, S R Gilbert
Purpose: Slipped capital femoral epiphysis (SCFE) is an adolescent hip condition with a high risk of complication. The purpose of this study was to evaluate trends in treatment using a prospectively collected paediatric nationally representative database. Methods: A total of 9034 patients undergoing treatment for idiopathic SCFE were selected by querying the Healthcare Cost and Utilization Project's Kids' Inpatient Database for the years 1997, 2000, 2003, 2006, 2009 and 2012...
October 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/30221075/the-epidemiology-of-slipped-capital-femoral-epiphysis-in-american-samoa
#5
Graham T Fedorak, Amy K Brough, Robin H Miyamoto, Ellen M Raney
The Maori of New Zealand have been identified as a high-risk population for slipped capital femoral epiphysis (SCFE). This study assessed whether the burden of disease from SCFE in the American Territory of American Samoa is similar to that identified in the Maori. This was a retrospective review of children from American Samoa treated for SCFE at a tertiary care pediatric hospital between 2005-2014. Demographic, clinical, and radiographic information was collected. All patients were followed for at least one year after surgery and prophylactically pinned hips were not included...
September 2018: Hawai'i Journal of Medicine & Public Health: a Journal of Asia Pacific Medicine & Public Health
https://www.readbyqxmd.com/read/30199462/epidemiology-of-slipped-capital-femoral-epiphysis-in-ontario-canada
#6
Robert Ravinsky, James Rofaiel, Benjamin G Escott, Zachary Lim, Bheeshma Ravi, Andrew Howard
BACKGROUND: Slipped capital femoral epiphysis (SCFE) is a well-characterized disorder of the hip seen in adolescent patients. It is characterized by deformity secondary to failure through the proximal femoral growth plate, which results in posterior-inferior displacement of the epiphysis on the proximal femoral metaphysis. Long-term sequelae of SCFE may include osteonecrosis, residual deformity, leg length discrepancy, degenerative joint disease, and chronic pain. The long-term consequences of SCFE may be the source of significant morbidity for the patient, and depending of the local incidence of this condition, may represent a significant expenditure of health care resources...
September 7, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/30171056/pediatric-hip-disorders-slipped-capital-femoral-epiphysis-and-legg-calv%C3%A3-perthes-disease
#7
Alexa J Karkenny, Brandon M Tauberg, Norman Y Otsuka
No abstract text is available yet for this article.
September 2018: Pediatrics in Review
https://www.readbyqxmd.com/read/30135982/moderate-and-severe-scfe-slipped-capital-femoral-epiphysis-arthroscopic-osteoplasty-vs-open-neck-osteotomy-a-retrospective-analysis-of-results
#8
Balasubramanian Balakumar, Elinor Flatt, Sanjeev Madan
AIM: We intend to compare the outcomes of arthroscopic osteoplasty with open neck osteotomy for correction of the hip impingement and improvement of hip function in children with moderate to severe healed Slipped Capital Femoral Epiphysis (SCFE). Our aim is to verify if arthroscopic osteoplasty could achieve the same outcome as open procedures. PATIENTS AND METHODS: A retrospective analysis of the hospital hip database retrieved 187 cases of SCFE from 2006 to 2013...
August 22, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/30095469/osteonecrosis-after-contralateral-in-situ-prophylactic-pinning-for-a-slipped-capital-femoral-epiphysis-a-case-report
#9
Moez Chargui, Amira Dhouib, Fabiana Esposito, Vasiliki Spyropoulou, Christina Steiger, Romain Dayer, Dimitri Ceroni
CASE: We report the case of an 11-year-old girl who developed osteonecrosis of the femoral head in the radiographically normal, asymptomatic left hip that had been fixed prophylactically in the context of a slipped capital femoral epiphysis (SCFE) that had been detected on the contralateral hip. The etiology of the osteonecrosis remains unknown. CONCLUSION: This case report demonstrates that prophylactic fixation of a radiographically normal, asymptomatic hip in the context of an SCFE on the contralateral side has the potential for substantial complications...
August 8, 2018: JBJS Case Connector
https://www.readbyqxmd.com/read/30057722/short-term-outcomes-of-one-stage-bilateral-total-hip-arthroplasty-in-young-patients-30-years-old
#10
Afshin Taheriazam, Amin Saeidinia
Total hip arthroplasty is one of the best treatments for restoring function and activity in young patients with advanced joint diseases. One-Stage Bilateral Total Hip Arthroplasty (BTHA) offers many advantages, which are important to younger patients and diminished costs and time in comparison with sequential THA. There is currently much concern about the safety of this procedure. The current study was designed to provide more information regarding THA in patients aged 30 years old or younger. Between April 2010 and September 2015, arthroplasty procedures were performed on 180 patients at the surgical centers of Erfan and Milad, Tehran, Iran...
June 14, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/30039196/similar-femoral-growth-and-deformity-with-one-screw-versus-two-smooth-pins-for-slipped-capital-femoral-epiphysis
#11
Panayiotis D Megaloikonomos, Andreas F Mavrogenis, Georgios N Panagopoulos, Vasilios G Igoumenou, Giannis Giakas, Christos Zampakides, Dimitrios Pasparakis
PURPOSE: To compare longitudinal growth and cam deformity of the proximal femur after treatment for slipped capital femoral epiphysis (SCFE) with one screw versus two smooth pins. METHODS: We studied 43 patients (29 males, 14 females; mean age, 12.1 years; range, 9.5-14 years) with idiopathic unilateral SCFE treated with in situ fixation with one cannulated screw (group A, n = 23) or two smooth pins (group B, n = 20). Anteroposterior and frog-leg radiographs of the pelvis were evaluated for each patient at initial presentation, post-operatively and at physeal closure...
July 23, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29975293/national-databases-in-pediatric-orthopaedic-surgery-a-comparison-of-demographics-procedures-and-outcomes
#12
Ilya M Gutman, Thomas E Niemeier, Shawn R Gilbert
BACKGROUND: Large national databases have been increasingly used in recent years to determine the rate of adverse events and identify factors associated with altered surgical outcomes. This can be especially useful to evaluate rare events such as 30-day mortality. Despite differences between national pediatric databases, there have been no comparison studies in the pediatric orthopaedic population. METHODS: The Healthcare Cost and Utilization Project's Kids' Inpatient Database (KID) along with the American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP Pediatric) databases were queried to identify common pediatric orthopaedic procedures for humeral fractures, scoliosis, slipped capital femoral epiphysis, and femoral fractures during a single year...
July 2, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29951122/increased-time-between-diagnosis-and-surgery-in-slipped-capital-femoral-epiphysis-results-in-increased-radiographic-deformity
#13
G T Fedorak, D C DeRosa, A K Brough, R H Miyamoto
Purpose: Previous work has examined the impact of delay of diagnosis in slipped capital femoral epiphysis (SCFE) but not the impact of delay in treatment after radiographic diagnosis. Due to requirements for long distance transportation from less developed regions for many of our patients, our hospital was able to study variation in time between diagnosis and surgery for SCFE, as related to slip severity. Methods: This is a retrospective review of patients treated for SCFE between 2005 and 2014 at a tertiary care paediatric hospital...
June 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29889771/the-peritubercle-lucency-sign-is-a-common-and-early-radiographic-finding-in-slipped-capital-femoral-epiphysis
#14
Daniel A Maranho, Patricia E Miller, Eduardo N Novais
BACKGROUND: A rotational mechanism of slipped capital femoral epiphysis (SCFE) in which the epiphyseal tubercle acts as a fulcrum has been recently described. However, there is limited radiographic evidence supporting this theory. We aimed to investigate whether a radiographic lucency around the epiphyseal tubercle (peritubercle lucency sign) could be observed before or at the diagnosis of a subsequent slip in patients initially presenting with unilateral SCFE. METHODS: We evaluated 70 patients with unilateral SCFE who were followed until a contralateral slip was diagnosed, and 180 patients with unilateral SCFE who had no contralateral slip until skeletal maturity between 2000 and 2017...
August 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29878978/intracapsular-cuneiform-osteotomy-compared-with-in-situ-pinning-for-the-management-of-slipped-capital-femoral-epiphysis
#15
Junting Zang, Katsufumi Uchiyama, Mitsutoshi Moriya, Zhengwei Li, Kensuke Fukushima, Takeaki Yamamoto, Jianguo Liu, Wei Feng, Naonobu Takahira, Masashi Takaso
Intracapsular cuneiform osteotomy was initially introduced to restore the morphology of the proximal femur after slipped capital femoral epiphysis (SCFE). However, whether this procedure results in a higher risk of avascular necrosis (AVN) or lower incidence of cam deformity than in-situ pinning is unclear. The aim of this study was to compare the outcomes of intracapsular cuneiform osteotomy and in-situ pinning to treat SCFE in children. Twenty-three children who suffered from SCFE underwent either intracapsular cuneiform osteotomy (eight patients, eight hips) or in-situ pinning (15 patients, 18 hips) between 2006 and 2014...
June 1, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29877938/approach-to-the-hip-for-scfe-the-north-american-perspective
#16
REVIEW
Daniel J Sucato
The treatment of slipped capital femoral epiphysis (SCFE) in North America has seen a change over the past 15 to 20 years due to a better understanding of the blood flow supplying the femoral head, the ability to monitor the pressure/flow in real time and greater access to the deformity with the development of surgical approaches providing that access. These advances have mainly affected the treatment of the unstable SCFE to mitigate the risk of avascular necrosis but have also been utilized for the stable SCFE when severe deformity remains...
July 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29877936/slipped-capital-femoral-epiphysis-the-european-perspective
#17
REVIEW
Jonathan Wright, Manoj Ramachandran
Treatment of slipped capital femoral epiphysis remains a contentious and debated issue. The opinion for the correct method of treatment can differ not only between different continents and nations, but also between units and surgeons within individual units. We aim to review the European perspective on the treatment of slipped capital femoral epiphysis and consider the trends for treatment among the European orthopaedic surgical community.
July 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29797165/the-modified-dunn-procedure-provides-superior-short-term-outcomes-in-the-treatment-of-the-unstable-slipped-capital-femoral-epiphysis-as-compared-to-the-inadvertent-closed-reduction-and-percutaneous-pinning-a-comparative-clinical-study
#18
Eduardo N Novais, Daniel A Maranho, Travis Heare, Ernest Sink, Patrick M Carry, Courtney O'Donnel
PURPOSE: The aim of this study was to compare clinical outcomes and radiographic correction after modified Dunn procedure versus inadvertent closed reduction and percutaneous pinning for the treatment of unstable slipped capital femoral epiphysis (SCFE). METHODS: We evaluated 45 patients with unstable SCFE treated using the modified Dunn procedure (n = 27) or percutaneous pinning (n = 18) during a minimum follow-up of one year. Clinical outcomes were assessed using the Heyman and Herndon scores...
May 24, 2018: International Orthopaedics
https://www.readbyqxmd.com/read/29762188/the-reliability-of-radiostereometric-analysis-in-determining-physeal-motion-in-slipped-capital-femoral-epiphysis-in-standard-uniplanar-and-low-dose-eos-biplanar-radiography-a-phantom-model-study
#19
Jennifer K Hurry, Saad Rehan, Alan J Spurway, Elise K Laende, Janie L Astephen Wilson, Karl J Logan, Michael J Dunbar, Ron El-Hawary
Physeal closure after slipped capital femoral epiphysis fixation can be difficult to assess on two-dimensional conventional radiographs. Radiostereometric analysis offers improved motion detection over conventional radiography, whereas the EOS biplanar imager provides a means for low radiation weight-bearing images. This phantom study assessed the reliability of measuring motion using radiostereometric analysis in the EOS using a slipped capital femoral epiphysis model. The accuracy and precision were better than 0...
May 14, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29762118/pediatric-orthopaedic-consults-from-chiropractic-care
#20
Andy B Awwad, William L Hennrikus, Douglas G Armstrong
Alternative medicine in pediatrics is expanding, with chiropractic now a common choice for families seeking alternative medical care. Currently, there is sparse information in the literature exploring the role of chiropractic in orthopaedic pathology. The objective of this case series is to present pediatric patients who received treatment from chiropractors and orthopaedic physicians as well as to review the respective existing research. Data collected included chiropractic diagnosis, orthopaedic diagnosis, imaging studies, treatments, and complications...
December 0: Journal of Surgical Orthopaedic Advances
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