keyword
https://read.qxmd.com/read/38518557/investigating-pelvic-drop-gait-abnormality-in-adolescent-hip-pathology-patients
#1
JOURNAL ARTICLE
Nicholas R Anable, Lauren A Luginsland, Carlos Carlos, Wilshaw R Stevens, Alex M Loewen, Kelly A Jeans, Daniel J Sucato
BACKGROUND: Trendelenburg gait describes contralateral pelvic drop during single leg stance (SLS) with occasional lateral trunk lean compensation over the stance limb. However, quantitative research on 'uncompensated Trendelenburg' gait (pelvic drop independent of lateral trunk lean) remains sparse among populations that commonly utilize this gait pattern, such as adolescent hip pathology patients. RESEARCH QUESTION: How prevalent is uncompensated Trendelenburg among various adolescent hip pathologies and how is it related to hip load, hip abduction strength, and self-reported hip pain? METHODS: Gait, strength, and pain data were collected among 152 pre-operative patients clinically diagnosed with acetabular hip dysplasia, femoroacetabular impingement, Legg-Calvé-Perthes, or slipped capital femoral epiphysis (SCFE)...
March 11, 2024: Gait & Posture
https://read.qxmd.com/read/38513108/surgical-hip-dislocation-in-the-era-of-hip-arthroscopy-demonstrates-high-survivorship-and-improvements-in-patient-reported-outcomes-for-complex-femoroacetabular-impingement
#2
JOURNAL ARTICLE
Zachary Trotzky, Brian Muffly, Nora Cao, Ernest Sink
BACKGROUND: Over the past decade, hip arthroscopy has become more commonly used in the treatment of patients with femoroacetabular impingement (FAI) as well as those with many other intra-articular hip pathologies. As such, the indications for open surgical hip dislocation have narrowed to include complex intra-articular and extra-articular bony morphologies and revision hip preservation. Although surgical hip dislocation has been established as an effective approach, previous research using contemporary indications has been limited primarily to smaller cohorts with short-term follow-up...
March 21, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38445159/revascularization-of-a-necrotic-femoral-head-in-severely-slipped-capital-femoral-epiphysis-with-a-modified-dunn-procedure-a-case-report
#3
Junya Shimizu, Hiroki Fujita, Kenji Tateda, Ima Kosukegawa, Atsushi Teramoto
Avascular necrosis, a serious slipped capital femoral epiphysis (SCFE) complication, is difficult to treat. We report a rare case of revascularization of the necrotic femoral head in a 12-year-old male patient with a severe SCFE (posterior tilting angle, 87°). We performed the modified Dunn procedure (MDP), followed by long-term unloading therapy. Blood flow to the epiphysis had partially resumed 2.3 years postoperatively. At the final 4.5-year follow-up, blood flow had been restored, leading to epiphyseal closure without significant femoral head deformity or hip pain...
February 2024: Curēus
https://read.qxmd.com/read/38435924/vara-deformity-and-subluxed-humeral-heads-an-unusual-sign-in-pseudohypoparathyroidism
#4
Mason A Williams, Kharina Guruvadoo, Lena Naffaa
Pseudohypoparathyroidism is a rare disorder characterized by end-organ resistance to intact parathyroid hormone (PTH) and concomitant laboratory findings of hypocalcemia and hyperphosphatemia. Radiologic evidence of the disease may manifest as a variety of bone abnormalities. This case describes an 11-year-old female with a history of repaired bilateral slipped capital femoral epiphysis who presented with a limited range of motion of the bilateral upper extremities. Laboratory findings were consistent with pseudohypoparathyroidism...
January 2024: Curēus
https://read.qxmd.com/read/38427154/the-clinical-value-of-preoperative-3d-planning-and-3d-surgical-guides-for-imh%C3%A3-user-osteotomy-in-slipped-capital-femoral-epipysis-a-retrospective-study
#5
JOURNAL ARTICLE
Vera Lagerburg, Michelle van den Boorn, Sigrid Vorrink, Ihsane Amajjar, Melinda M E H Witbreuk
BACKGROUND: Accurate repositioning of the femoral head in patients with Slipped Capital Femoral Epiphysis (SCFE) undergoing Imhäuser osteotomy is very challenging. The objective of this study is to determine if preoperative 3D planning and a 3D-printed surgical guide improve the accuracy of the placement of the femoral head. METHODS: This retrospective study compared outcome parameters of patients who underwent a classic Imhäuser osteotomy from 2009 to 2013 with those who underwent an Imhäuser osteotomy using 3D preoperative planning and 3D-printed surgical guides from 2014 to 2021...
March 1, 2024: 3D Printing in Medicine
https://read.qxmd.com/read/38425301/stable-slipped-capital-femoral-epiphysis-with-significant-deformity
#6
EDITORIAL
Anthony Howard, Geraint E R Thomas, Daniel C Perry
No abstract text is available yet for this article.
February 1, 2024: Bone & Joint Journal
https://read.qxmd.com/read/38415747/a-role-for-thyroid-testing-in-slipped-capital-femoral-epiphysis-32-rate-of-abnormal-values-in-tested-patients
#7
JOURNAL ARTICLE
Ena Nielsen, Braeden Leiby, Todd J Blumberg
BACKGROUND: Hypothyroidism is a known risk factor for slipped capital femoral epiphysis (SCFE), and prior studies of hypothyroid-associated SCFE have demonstrated an incidence of up to 6%. However, there is limited evidence and no formal practice guidelines regarding whether patients presenting with SCFE should undergo screening for endocrine disorders. This study aims to investigate the incidence of abnormal thyroid function studies in patients presenting with SCFE. METHODS: This was a retrospective review of all patients aged 0 to 18 years treated for SCFE at a single pediatric hospital from January 2015 to July 2022...
February 29, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38411144/intraoperative-epiphyseal-perfusion-monitoring-does-not-reliably-predict-osteonecrosis-following-treatment-of-unstable-scfe
#8
JOURNAL ARTICLE
Bridget K Ellsworth, Julianna Y Lee, Morgan G Batley, Wudbhav N Sankar
BACKGROUND: Avascular necrosis (AVN) remains the most dreaded complication of unstable slipped capital femoral epiphysis (SCFE) treatment. Newer closed reduction techniques (with perfusion monitoring) have emerged as a technically straightforward means to address residual SCFE deformity while still minimizing the risk of osteonecrosis. However, limited data exists regarding the reliability of intraoperative epiphyseal perfusion monitoring to predict the development of AVN. The purpose of this study was to evaluate its reliability...
February 27, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38398334/the-medium-to-long-term-results-of-vascular-sparing-subcapital-osteotomy-vassco-for-pediatric-patients-with-chronic-slipped-capital-femoral-epiphysis
#9
JOURNAL ARTICLE
Cesare Faldini, Alberto Di Martino, Matteo Brunello, Niccolò Stefanini, Nicole Puteo, Federico Pilla, Giuseppe Geraci, Francesco Traina
Background: In patients affected by chronic slipped capital femoral epiphysis (C-SCFE), the performance of a subcapital osteotomy is an effective procedure to correct the deformity at the proximal femur. However, the rate of postoperative complications is very high, with iatrogenic avascular necrosis of the femoral head (AVN) being the most bothersome. To overcome the risk of AVN, the modified Dunn procedure according to Ganz and, more recently, the Vascular Sparing Subcapital Osteotomy (VASSCO) technique have been proposed; however, only short-term follow-up studies are available on the latter technique being used...
February 10, 2024: Journal of Clinical Medicine
https://read.qxmd.com/read/38370596/slipped-capital-femoral-epiphysis-in-a-5-year-old-boy-with-cerebral-palsy-on-valproic-acid-and-levetiracetam-for-epilepsy-a-case-report
#10
Osama R Aldhafian
This study presents a rare case of unilateral slipped capital femoral epiphysis treated surgically in a 5-year-old boy with cerebral palsy who was born at 27 weeks' gestation and developed grade III intraventricular haemorrhage and periventricular leucomalacia and was on antiepileptic drugs, including valproic acid and levetiracetam for >3 years. The patient had no history of endocrine, renal, and significant familial diseases.
February 2024: Journal of Surgical Case Reports
https://read.qxmd.com/read/38369715/letter-to-the-editor-the-effect-of-human-growth-hormone-treatment-on-the-development-of-slipped-capital-femoral-epiphysis-a-cohort-analysis-with-6-years-of-follow-up
#11
JOURNAL ARTICLE
Zhikang Tian, Zichun Wei, Jiahui Wang, Chunyang Meng
No abstract text is available yet for this article.
February 19, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38345811/emergency-department-volume-and-delayed-diagnosis-of-serious-pediatric-conditions
#12
JOURNAL ARTICLE
Kenneth A Michelson, Chris A Rees, Todd A Florin, Richard G Bachur
IMPORTANCE: Diagnostic delays are common in the emergency department (ED) and may predispose to worse outcomes. OBJECTIVE: To evaluate the association of annual pediatric volume in the ED with delayed diagnosis. DESIGN, SETTING, AND PARTICIPANTS: This retrospective cohort study included all children younger than 18 years treated at 954 EDs in 8 states with a first-time diagnosis of any of 23 acute, serious conditions: bacterial meningitis, compartment syndrome, complicated pneumonia, craniospinal abscess, deep neck infection, ectopic pregnancy, encephalitis, intussusception, Kawasaki disease, mastoiditis, myocarditis, necrotizing fasciitis, nontraumatic intracranial hemorrhage, orbital cellulitis, osteomyelitis, ovarian torsion, pulmonary embolism, pyloric stenosis, septic arthritis, sinus venous thrombosis, slipped capital femoral epiphysis, stroke, or testicular torsion...
February 12, 2024: JAMA Pediatrics
https://read.qxmd.com/read/38324643/medium-long-term-follow-up-of-slipped-capital-femoral-epiphysis-treated-with-in-situ-fixation-and-patient-acceptable-symptom-state-evaluation
#13
JOURNAL ARTICLE
Daniele Priano, Nicolò De Pascali, Valerio Caccavella, Francesco Puglia, Paolo Trezza, Antonio Memeo
This study evaluates the Patient Acceptable Symptom State (PASS) in patients with slipped capital femoral epiphysis (SCFE) treated with in situ fixation, focusing on medium to long-term outcomes and quality of life. Its primary goal is to establish a subjective well-being cutoff, using subjective methods and the iHOT33 scale, for assessing patients in future studies. Additionally, it explores functionality differences between mild and moderate-severe SCFE, case series epidemiology and potential complications...
February 5, 2024: Journal of Pediatric Orthopedics. Part B
https://read.qxmd.com/read/38312908/arthroscopic-and-radiographic-features-distinguish-femoral-head-deformity-from-idiopathic-cam-slipped-capital-femoral-epiphysis-and-recurrent-cam-after-slipped-epiphysis
#14
JOURNAL ARTICLE
Prasad Gourineni, Durgaprasad Valleri, Nirav Mungalpara, Sudhir Mahapatra, Vishnu Senthil
INTRODUCTION: Hip impingement from slipped epiphysis and idiopathic cam is well known but not fully differentiated. Idiopathic cam can be a result of an undiagnosed slip. The mechanism of remodeling of slipped epiphysis deformity has also been controversial. The causes of recurrent femoral head deformity and new impingement beyond progression of the slip have not been studied. MATERIALS AND METHODS: A consecutive series of hips treated by arthroscopic femoral neck osteoplasty for impingement from slipped epiphysis were compared with a series of hips treated for idiopathic cam impingement...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312907/does-prophylactic-pinning-affect-the-proximal-femur-morphology-in-slipped-capital-femoral-epiphysis
#15
JOURNAL ARTICLE
K Venkatadass, Deepak Jain, S Rajasekaran
BACKGROUND: The role of prophylactic pinning of the contralateral hip in unilateral SCFE is well established in patients with risk factors for developing contralateral slip. The effect of prophylactic pinning on the growth and morphology of the hip is not well documented in the literature. We aimed to study the effect of prophylactic pinning on the residual growth and morphology of the proximal femur. MATERIALS & METHODS: The institutional database was searched for all unilateral SCFE cases for the period 2011 to 2020...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38284743/corr-insights%C3%A2-is-subcapital-realignment-for-slipped-capital-femoral-epiphysis-a-reproducible-technique-midterm-results
#16
JOURNAL ARTICLE
Evelyn Kuong
No abstract text is available yet for this article.
January 26, 2024: Clinical Orthopaedics and related Research
https://read.qxmd.com/read/38271486/rate-and-risk-factors-for-contralateral-slippage-in-adolescents-treated-for-slipped-capital-femoral-epiphysis-a-comprehensive-analysis-of-3-528-cases
#17
JOURNAL ARTICLE
David Momtaz, Peyman Mirghaderi, Rishi Gonuguntla, Aaron Singh, Mehul Mittal, Andres Burbano, Pooya Hosseinzadeh
BACKGROUND: After a unilateral slipped capital femoral epiphysis (SCFE), the contralateral hip is at risk for a subsequent SCFE. However, further information with regard to risk factors involved in the development of contralateral SCFE must be investigated. The purpose of this study was to report the rate and risk factors for subsequent contralateral SCFE in adolescents treated for unilateral SCFE by exploring a mix of known and potential risk factors. METHODS: A case-control study utilizing aggregated multi-institutional electronic medical record data between January 2003 and March 2023 was conducted...
March 20, 2024: Journal of Bone and Joint Surgery. American Volume
https://read.qxmd.com/read/38261798/association-of-relative-skeletal-immaturity-of-the-triradiate-cartilage-with-increased-proximal-femoral-deformity-in-prophylactic-fixation-for-slipped-capital-femoral-epiphysis-a-radiographic-study
#18
JOURNAL ARTICLE
Joshua B Klatt, Allan K Metz, Devin L Froerer, Joseph Featherall, Jenna R Cheminant, Reece M Rosenthal, Stephen K Aoki
INTRODUCTION: The purpose of this study was to describe proximal femoral deformity after contralateral hip prophylactic fixation of slipped capital femoral epiphysis (SCFE) in patients and the association of relative skeletal immaturity with this deformity. METHODS: A retrospective review of patients presenting with a SCFE was conducted from 2009 to 2015. Inclusion criteria were (1) radiographic evidence of a unilateral SCFE treated with in situ fixation, (2) contralateral prophylactic fixation of an unslipped hip, and (3) at least 3 years of follow-up...
January 23, 2024: Journal of the American Academy of Orthopaedic Surgeons
https://read.qxmd.com/read/38225906/the-effect-of-human-growth-hormone-treatment-on-the-development-of-slipped-capital-femoral-epiphysis-a-cohort-analysis-with-6-years-of-follow-up
#19
JOURNAL ARTICLE
Mehul Mittal, David Momtaz, Rishi Gonuguntla, Aaron Singh, Dhyan Dave, Mahshid Mohseni, Beltran Torres-Izquierdo, Claire Schaibley, Pooya Hosseinzadeh
BACKGROUND: Slipped capital femoral epiphysis (SCFE) is a common hip disorder in adolescents that can result in substantial complications, impacting the quality of life. Human Growth Hormone (HGH) administration may elevate the risk of SCFE, though the relationship remains unclear. Clarifying this association could enable better monitoring and earlier diagnosis of SCFE in patients receiving HGH. The aim of the study is to investigate the association between HGH administration and the incidence of SCFE...
January 15, 2024: Journal of Pediatric Orthopedics
https://read.qxmd.com/read/38206741/benefits-of-negative-pressure-wound-therapy-with-fat-migration-during-revisional-total-hip-arthroplasty-in-an-obese-patient-a-case-report
#20
JOURNAL ARTICLE
Zoya Morani, Aashna Mehta, Fnu Parul, Helen Huang, Mohammad Raza Khan, Nialish Javaid, Rachael Suzanne Ninan, Andrew Awuah Wireko, Luqman Muhammed, Fatima Aman Siddiqui
INTRODUCTION: A 38-year-old African American woman presented with right hip pain and movement restriction. Her medical history included a right hip and knee arthroplasty 10 years prior, history of Slipped Capital Femoral Epiphysis and osteonecrosis of the hip. Preoperative assessment was significant for multiple comorbidities such as obesity (BMI > 38), hypertension, asthma. PATIENT CONCERNS: The patient presented with right hip pain, rated 7/10, and restricted hip flexion, adduction, and abduction...
December 29, 2023: Medicine (Baltimore)
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