keyword
https://read.qxmd.com/read/38023740/slipped-capital-femoral-epiphysis-in-adolescents-functional-outcomes-and-return-to-physical-activity-after-surgical-treatment
#21
EDITORIAL
Vasileios Giovanoulis, Christos Koutserimpas, Angelo V Vasiliadis, Nikolaos Lepidas, Sarah Carville, Sarah Boulcourt, Brice Ilharreborde, Anne-Laure Simon
Background: Slipped capital femoral epiphysis (SCFE) represents a relatively common hip disorder in adolescents. The present retrospective study analyzes the correlation between age, severity of the slip and physeal stability and the functional outcomes, as well as the ability to return to previous physical activity (PA) of patients surgically treated with either pining in situ (PIS) or the modified Dunn (MD) procedure (anatomical reduction of the slipped epiphysis). Methods: The present research is a retrospective observational study of patients surgically treated for SCFE from 2010 to 2015...
September 2023: Mædica
https://read.qxmd.com/read/37964106/-evaluation-of-care-for-slipped-capital-femoral-epiphysis-scfe-in-germany
#22
JOURNAL ARTICLE
Elea Amann, Michael Schwarze, Yvonne Noll, Henning Windhagen, Kerstin Radtke
INTRODUCTION: The treatment concept for slipped capital femoral epiphysis is still controversial. According to studies, there is currently no recommendation for a universal approach. Therefore, the aim of this study is to analyze the care reality of children with ECF in Germany. METHODS: The evaluation of the study is performed based on a questionnaire sent to physicians tending to ECF in 2021. Data is compared to the literature. RESULTS: 36 of 47 questionnaires sent out were included...
November 14, 2023: Orthopadie (Heidelb)
https://read.qxmd.com/read/37906175/comparison-of-three-radiographic-assessment-methods-for-detecting-slipped-capital-femoral-epiphyses-in-cats-klein-s-line-modified-klein-s-line-and-the-s-sign
#23
JOURNAL ARTICLE
Daniel Butts, Alex J Smith, Kate Bradley, Richard Meeson, Kevin Parsons, Sorrel J Langley-Hobbs
OBJECTIVES: The aim of the present study was to investigate whether diagnostic assessment methods used on radiographs in humans with slipped capital femoral epiphysis (SCFE) can be used in cats. METHODS: The ventrodorsal (VD) extended-leg and VD frog-leg pelvic radiographs of 20 cats with SCFE without fully displaced femoral capital epiphyses (FCE), eight cats with fully displaced FCE and five control cats with normal pelvic anatomy were assessed by five observers on two separate occasions 3 months apart...
October 2023: Journal of Feline Medicine and Surgery
https://read.qxmd.com/read/37866280/3d-printed-patient-specific-fixation-plates-for-the-treatment-of-slipped-capital-femoral-epiphysis-topology-optimization-vs-conventional-design
#24
JOURNAL ARTICLE
V Moosabeiki, N de Winter, M Cruz Saldivar, M A Leeflang, M M E H Witbreuk, V Lagerburg, M J Mirzaali, A A Zadpoor
Orthopedic plates are commonly used after osteotomies for temporary fixation of bones. Patient-specific plates have recently emerged as a promising fixation device. However, it is unclear how various strategies used for the design of such plates perform in comparison with each other. Here, we compare the biomechanical performance of 3D printed patient-specific bone plates designed using conventional computer-aided design (CAD) techniques with those designed with the help of topology optimization (TO) algorithms, focusing on cases involving slipped capital femoral epiphysis (SCFE)...
October 11, 2023: Journal of the Mechanical Behavior of Biomedical Materials
https://read.qxmd.com/read/37811577/temporal-trends-in-surgical-implants-for-in-situ-fixation-of-stable-slipped-capital-femoral-epiphysis
#25
JOURNAL ARTICLE
Ethan Chervonski, Taylor Wingo, Carlos Pargas-Colina, Pablo Castañeda
Stable slipped capital femoral epiphysis (SCFE) is a pediatric hip disorder managed with in situ fixation of the proximal femoral epiphysis, otherwise known as 'pinning the hip'. The objective of this study was to characterize how the choice of implant for in situ fixation of stable SCFE has changed over time. A systematic review of publications concerning in situ fixation of stable SCFE from January 1993 to November 2021 was conducted. The change in the type, diameter, and number of implants used in publications over time and the age of their respective patient cohorts was evaluated...
October 9, 2023: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/37799312/hip-impingement-of-severe-scfe-patients-after-in-situ-pinning-causes-decreased-flexion-and-forced-external-rotation-in-flexion-on-3d-ct
#26
JOURNAL ARTICLE
Till D Lerch, Young-Jo Kim, Ata Kiapour, Adam Boschung, Simon D Steppacher, Moritz Tannast, Klaus A Siebenrock, Eduardo N Novais
INTRODUCTION: In situ pinning is an accepted treatment for stable slipped capital femoral epiphysis. However, residual deformity of severe slipped capital femoral epiphysis can cause femoroacetabular impingement and forced external rotation. PURPOSE/QUESTIONS: The aim of this study was to evaluate the (1) hip external rotation and internal rotation in flexion, (2) hip impingement location, and (3) impingement frequency in early flexion in severe slipped capital femoral epiphysis patients after in situ pinning using three-dimensional computed tomography...
October 2023: Journal of Children's Orthopaedics
https://read.qxmd.com/read/37773028/quantifying-risk-factors-for-slipped-capital-femoral-epiphysis-and-postslip-osteonecrosis
#27
JOURNAL ARTICLE
Natalie L Zusman, Rachel Y Goldstein, Jung U Yoo
BACKGROUND: Slipped capital femoral epiphysis (SCFE) is a disorder of the proximal femoral physis occurring in late childhood and adolescence. Previously postulated risk factors include obesity and endocrinopathies. The purpose of this investigation was to identify risk factors for developing SCFE, as well as postslip osteonecrosis (ON), among the United States pediatric population. METHODS: A national database investigation was performed using PearlDiver Technologies, Inc...
September 29, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37761517/idiopathic-slipped-capital-femoral-epiphysis-demographic-differences-and-similarities-between-stable-unstable-and-valgus-types
#28
JOURNAL ARTICLE
Randall T Loder, Zachary Gunderson, Seungyup Sun
Idiopathic slipped capital femoral epiphysis (SCFE) is a known disorder in pre/adolescent children with vague hip/knee pain. We wished to study the demographic differences between stable varus, unstable varus, and valgus idiopathic SCFEs using a retrospective review over a 10-year period of SCFE children seen at a tertiary children's hospital. Standard demographic data was collected, and radiographs were measured to determine the Southwick angle and status of the tri-radiate cartilage. There were 190 patients; 138 had stable varus SCFEs, 45 unstable varus SCFEs, and 7 valgus SCFEs...
September 15, 2023: Children
https://read.qxmd.com/read/37733905/public-insurance-and-single-guardian-households-are-associated-with-diagnostic-delay-in-slipped-capital-femoral-epiphysis
#29
JOURNAL ARTICLE
Lacey M Smith, Yuchiao Chang, Candace H Feldman, Leah M Santacroce, Madison Earle, Jeffrey N Katz, Eduardo N Novais
BACKGROUND: Extensive literature documents the adverse sequelae of delayed diagnosis of slipped capital femoral epiphysis (SCFE), including worsening deformity and surgical complications. Less is known about predictors of delayed diagnosis of SCFE, particularly the effects of social determinants of health. The purpose of this study was to evaluate the impact of insurance type, family structure, and neighborhood-level socioeconomic vulnerability on the delay of SCFE diagnosis. METHODS: We reviewed medical records of patients who underwent surgical fixation for stable SCFE at a tertiary pediatric hospital from 2002 to 2021...
September 21, 2023: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/37663178/modified-dunn-technique-for-unstable-slipped-capital-femoral-epiphysis-a-midterm-single-center-experience
#30
JOURNAL ARTICLE
Frederico Coutinho de Moura Vallim, Henrique Abreu da Cruz, Carlos Francisco Bittencourt Silva, Caroline Sandra Gomes de Abreu, Ricardo Carneiro Rodrigues, Marcio Garcia Cunha
Objective  To evaluate the safety and reproducibility of the surgery for unstable slipped capital femoral epiphysis (SCFE) through the modified Dunn technique in a single center cohort from Brazil. Methods  We retrospectively analyzed a cohort of patients submitted to this procedure by a single surgeon who was a hip preservation specialist. Demographic data and radiographic angles were evaluated for the relative risk (RR) of avascular necrosis (AVN) using a log-binomial regression model with simple and random effects...
August 2023: Revista Brasileira de Ortopedia
https://read.qxmd.com/read/37538127/management-of-slipped-capital-femoral-epiphysis-scfe-on-top-of-fixed-fracture-neck-of-femur-case-report
#31
Hesham Mohamed Elbaseet, Mohamed Abdelhady Abdelzaher
The incidence of Slipped capital femoral epiphysis (SCFE) after management of femoral neck fracture in pediatrics is very rare. In this case report, a nine-year-old female child sustained left sided femur neck fracture after a motor car accident. The fracture was fixed by two cannulated screws and healing with mild varus occurred after six weeks. However, progressive slippage of femoral epiphysis was observed. This was treated by subtrochanteric valgus osteotomy and fixed by tension band and Wagner technique...
2023: Archives of Bone and Joint Surgery
https://read.qxmd.com/read/37508660/changing-treatment-philosophy-of-slipped-capital-femoral-epiphysis-scfe-after-introduction-of-the-modified-dunn-procedure-mdp-our-experience-with-mdp-and-its-complications
#32
JOURNAL ARTICLE
Enrico Micciulli, Laura Ruzzini, Giulio Gorgolini, Pier Francesco Costici, Fernando De Maio, Ernesto Ippolito
BACKGROUND: The modified Dunn procedure (MDP) has become popular during the last 16 years to treat severely displaced slipped capital femoral epiphysis (SCFE) while "in situ" pinning (ISP) has remained valid to treat mild to moderate SCFE, although the indication limit of the Southwick angle (SA) has not yet been established for either procedure. In this context, we reviewed two cohorts of patients with SCFE, one treated by ISP and the other by MDP. We also tried to better elucidate the etiopathogenesis of hip instability, a severe complication of MDP...
July 3, 2023: Children
https://read.qxmd.com/read/37493030/surgeon-preference-for-prophylactic-contralateral-fixation-in-slipped-capital-femoral-epiphysis-scfe-patients-a-nationwide-posna-survey-study
#33
JOURNAL ARTICLE
Megan R Donnelly, Jonathan E Layne, Pablo G Castañeda
BACKGROUND: It is estimated that 11% to 60% of unilateral slipped capital femoral epiphysis (SCFE) patients will develop contralateral pathology, usually within 18 months after the first event. Despite this, prophylactic fixation remains controversial, and there is significant variability in surgeon preferences. Thus, this study aimed to determine which factors predict surgeon preferences for prophylactic contralateral pinning in SCFE patients. METHODS: We designed a survey for pediatric orthopedic surgeons to collect data on (1) surgeon and hospital characteristics, (2) individual preference for contralateral SCFE pinning in three disparate hypothetical scenarios, and (3) personal risk-aversion traits...
October 1, 2023: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/37409921/which-factor-is-more-reliable-considering-prophylactic-pinning-of-contralateral-hip-of-unilateral-scfe-patients
#34
JOURNAL ARTICLE
Evren Akpinar, Ahmet Sevencan, Osman Nuri Ozyalvac, Murat Onder, Muhammed Bilal Kurk, Yakup Alpay, Ilhan Avni Bayhan
BACKGROUND: This study evaluates the radiological parameters of developing subsequent contralateral slips in unilateral slipped capital femoral epiphysis (SCFE) patients at the time of initial presentation. METHODS: The study group included the review of unilateral SCFE patients treated between June 2007 and August 2018. Age, gen-der, side, stability, posterior slope angle, grade of slip, modified Oxford bone age score (mOBAS), the Risser classification, and the ap-pearance of the triradiate cartilage were evaluated retrospectively...
July 2023: Turkish Journal of Trauma & Emergency Surgery: TJTES
https://read.qxmd.com/read/37402007/-slipped-capital-femoral-epiphysis
#35
REVIEW
Sebastian Berg, K F Kuminack
BACKGROUND: In slipped capital femoral epiphysis (SCFE), the femoral head slides in an anterosuperior direction along the growth plate. The femoral head remains in the acetabulum. The pathogenesis of SCFE is multifactorial. An important predisposing factor is obesity. PROBLEM: Epiphysiolysis can compromise the blood supply to the epiphysis and osteonecrosis of the femoral head may result. DIAGNOSTICS AND PROGNOSIS: Conventional radiography represents the first diagnostic step...
October 2023: Radiologie (Heidelb)
https://read.qxmd.com/read/37397570/-99m-tc-tc-mdp-bone-spect-ct-diagnosing-unstable-slipped-capital-femoral-epiphysis-with-secondary-avn-in-a-patient-with-misleading-knee-pain
#36
Marzieh Ebrahimi, Vahid Ziaee, Maryam Nemati, Zeinab Paymani
Bone scan is highly sensitive whole-body imaging with relative low radiation in patients with non-localized skeletal symptoms. Patient is 12-year-old boy with Down syndrome, suffering recent claudication and exacerbated left knee pain unable to walk even with crutches. Three-dimensional Single photon emission computed tomography/Computed tomography (SPECT/CT) detected left slipped capital femoral epiphysis (SCFE) and secondary Avascular necrosis (AVN).
July 2023: Clinical Case Reports
https://read.qxmd.com/read/37378731/green-extraction-of-quercus-infectoria-gall-with-supercritical-co-2-and-methanol-co-solvent
#37
JOURNAL ARTICLE
Retno Purbowati, Titik Taufikurohmah, Achmad Syahrani
Green extraction of supercritical liquid CO2 (SCFE-CO2 ) using co-solvent methanol can produce a more complete phenolic acid composition and a higher quantity when compared to those without using co-solvent. The extract was devoid of toxicity. SCFE-CO2 is carried out by putting 100 g of Quercus infectoria gall of size 0.3 mm into extraction tube at temperature of 60 °C and the pressure of 20 MPa with a CO2 flow rate of 25 ml/min using co-solvent methanol with variation of flow speed 0...
June 28, 2023: Environmental Science and Pollution Research International
https://read.qxmd.com/read/37361665/slipped-capital-femoral-epiphysis-as-primary-presentation-in-an-adolescent-with-primary-hyperparathyroidism-due-to-ectopic-mediastinal-parathyroid-adenoma
#38
Padma Vikram Badhe, Sanika Patil, G Vikram Reddy, Harini Sheshadri, Sanjay Jain, Tejas Nikumbh
KEY CLINICAL MESSAGE: Ectopic mediastinal parathyroid adenoma causes primary hyperparathyroidism presenting as hypercalcemia. When children with hypercalcemia present with slipped capital femoral epiphysis, a detailed evaluation for hypercalcemia must be done before surgery. ABSTRACT: The association between slipped capital femoral epiphysis (SCFE) and hyperparathyroidism has been reported and is rare. Each is known to affect different age groups. We report a case of a 13-year-old boy with SCFE and primary HPT leading to hypercalcemia and skeletal deformities...
June 2023: Clinical Case Reports
https://read.qxmd.com/read/37255638/subacute-bacterial-infection-mimicking-a-slipped-capital-femoral-epiphysis-in-an-obese-adolescent-male-a-case-report-and-review-of-literature
#39
Nihar Modi, Swapnil Keny, Harshit Dave, Viraj Gandbhir, Shaswat Mishra, Shivaprasad Kolur
INTRODUCTION: Atypical and subacute presentations of pediatric bacterial septic arthritis are difficult to diagnose due to lack of systemic manifestations and inadequate laboratory data. Furthermore, they may mimic certain well-documented pediatric disorders to confound the diagnosis and management. CASE REPORT: The authors present a case of an adolescent obese male with features suggestive of a slipped capital femoral epiphysis (SCFE). Further investigations revealed bacterial septic arthritis which may have contributed to the slip...
May 2023: Journal of Orthopaedic Case Reports
https://read.qxmd.com/read/37238326/diagnosis-of-slipped-capital-femoral-epiphysis-how-to-stay-out-of-trouble
#40
REVIEW
Vito Pavone, Gianluca Testa, Paola Torrisi, Kathryn Louise McCracken, Alessia Caldaci, Andrea Vescio, Marco Sapienza
Slipped capital femoral epiphysis (SCFE) is the most common hip disorder affecting children and adolescents aged between 9 and 16 years, affecting approximately 10 per 100,000 children per year. The diagnosis of SCFE is often delayed, leading to an increased risk of complications. This study aims to provide the latest evidence concerning the causes of diagnostic delay and risk factors for SCFE and to educate general practitioners and paediatricians to help reduce delays in diagnosis and provide earlier therapeutic intervention...
April 25, 2023: Children
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