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JBJS Rev 2019 Apr 23. Epub 2019 Apr 23.

Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Michigan.

J Feline Med Surg 2019 May;21(5):449-451

2 Department of Biomedical Sciences and Pathobiology, Virginia Maryland College of Veterinary Medicine, Blacksburg, Virginia, USA.

Clinical Presentation: A 6-month-old female spayed domestic shorthair cat was presented for investigation of acute right hindlimb lameness and paresis.

What Is Your Diagnosis?: Readers are encouraged to review the case history and consider what their diagnostic suspicion is. Also what is the preferred treatment for this injury? And what is the primary cause of this injury? Read More

Pan Afr Med J 2018 5;31:89. Epub 2018 Oct 5.

Service de Chirurgie Pédiatrique, CHU Hassan II, Fès, Maroc.

Slipped capital femoral epiphysis (SCFE) is a slippage of the femoral epiphysis (femoral head) on the femoral neck. Femoral epiphysis usually slips backward and inward because of body weight. This disorder mainly occurs during puberty. Read More

Medicine (Baltimore) 2019 Apr;98(16):e15294

University Children's Hospital Basel (UKBB), Department of Pediatric Surgery, 4056 Basel.

Rationale: Damage control is a staged surgical approach to manage polytraumatized patients. The damage control approach comprises three steps. First, bleeding is controlled and fractures are stabilized temporarily; second, vital parameters are stabilized and the child is rewarmed in the intensive care unit; and third, the child is reoperated for definitive repair of injuries. Read More

Orthopade 2019 Apr 17. Epub 2019 Apr 17.

Orthopädische Klinik, Olgahospital, Klinikum Stuttgart, Kriegsbergstr. 62, 70174, Stuttgart, Deutschland.

In slipped capital femoral epiphysis (SCFE) atypical causes can be found in about 5% of cases. The patients' age differs from the typical age of SCFE patients of between age 10 and 16. There are numerous causes of atypical SCFE: different endocrine disorders, sequelae of chronic renal failure and effects of radiation and chemotherapy on the proximal femoral physis. Read More

J Pediatr Orthop 2019 Apr 15. Epub 2019 Apr 15.

Hospital for Special Surgery, New York, NY.

Background: Unstable slipped capital femoral epiphysis (SCFE) may lead to avascular necrosis (AVN) in up to 60% of patients. The aim of this study was to assess the best clinical evidence to determine the effect of capsular decompression (CD) on odds of AVN in unstable SCFE.

Methods: Medline, Embase, and Cochrane databases were systematically searched for comparative studies investigating AVN rates in unstable SCFE treated with or without CD (aspiration, percutaneous, or open). Read More

J Pediatr Orthop 2019 Apr 8. Epub 2019 Apr 8.

Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, MA.

Background: Slipped capital femoral epiphysis (SCFE) is one of the most common hip disorders. The vascularity of the lateral epiphyseal vessels supplying the femoral head in patients with healed SCFE has not been well defined. The purpose of this study was to characterize the location and number of lateral epiphyseal vessels in young adults with healed SCFE. Read More

Bone Joint J 2019 Apr;101-B(4):403-414

Department of Orthopaedic Surgery, Inselspital, University of Bern, Freiburgstrasse, Bern, Switzerland.

Aims: The modified Dunn procedure has the potential to restore the anatomy in hips with severe slipped capital femoral epiphyses (SCFE). However, there is a risk of developing avascular necrosis of the femoral head (AVN). In this paper, we report on clinical outcome, radiological outcome, AVN rate and complications, and the cumulative survivorship at long-term follow-up in patients undergoing the modified Dunn procedure for severe SCFE. Read More

J Orthop Res 2019 Mar 25. Epub 2019 Mar 25.

Department of Orthopaedic Surgery, Boston Children's Hospital, Harvard Medical School, Boston, Massachusetts.

Epiphyseal tubercle and peripheral cupping can influence the development of slipped capital femoral epiphysis (SCFE) and Cam morphology. During normal skeletal growth, epiphyseal tubercle shrinks while the peripheral cupping grows. We hypothesized that epiphyseal tubercle act as the primary stabilizer of the head-neck junction at early stages and this role is gradually transferred to epiphyseal cupping as the tubercle shrinks and cupping grows. Read More

Curr Rev Musculoskelet Med 2019 Mar 12. Epub 2019 Mar 12.

Boston Children's Hospital, Boston, MA, USA.

Purpose Of Review: To review slipped capital femoral epiphysis (SCFE), with a focus on new insights into its etiology and evolving methods of operative fixation.

Recent Findings: The epiphyseal tubercle and its size during adolescence are paramount to understanding the mechanism of SCFE. In chronic stable SCFE, the epiphysis rotates about the tubercle protecting the lateral epiphyseal vessels from disruption. Read More

Acta Chir Orthop Traumatol Cech 2019 ;86(1):23-32

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy, Institutu postgraduálního vzdělávání ve zdravotnictví a Nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY To evaluate the results of treatment of acute and chronic severe slips of slipped capital femoral epiphysis. The tested hypothesis was that the results will be comparable with the methods using surgical hip dislocation. MATERIAL AND METHODS In the period 1996-2014, 26 patients were treated for severe slips ( >60°). Read More

Clin Orthop Relat Res 2019 May;477(5):1123-1125

T. Terjesen, Professor and Orthopaedic Surgeon, Oslo University Hospital, Department of Orthopaedics, NO-0027 Oslo, Norway.

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499018822234

5 Waikato Hospital, Pembroke St, Hamilton, New Zealand.

Background:: In recent years, there has been a trend toward more aggressive management of slipped capital femoral epiphysis (SCFE) with acute anatomical realignment; however, the literature is unclear with regard to the indications for this.

Questions/purposes:: To collect long-term patient-reported outcome scores on a group of SCFE patients using modern hip scores. The second aim was to determine whether there is a threshold level of deformity beyond which patients have predictably poor outcomes following in situ pinning. Read More

J Arthroplasty 2019 Jan 31. Epub 2019 Jan 31.

Department of Basic Medical Sciences, Neuroscience and Organs of Sense, School of Medicine, AOU Policlinico Consorziale, Università di Bari "Aldo Moro", Bari, Italy.

Background: Ceramic-on-ceramic (CoC) bearings due to their mechanical properties can be used in primary total hip arthroplasty (THA) especially in young patients requiring a long-lasting implant. The goal of this study is to analyze the results of a series of 200 consecutive CoC THAs in patients aged 50 years or less at the time of surgery.

Methods: A retrospective study was conducted on the first 200 consecutive CoC arthroplasties performed using the direct lateral approach on 105 females and 81 males (14 bilateral cases) with an average age of 44. Read More

Clin Pract Cases Emerg Med 2019 Feb 22;3(1):81-82. Epub 2019 Jan 22.

University of Toronto, Hospital for Sick Children, Division of Pediatric Emergency Medicine, Department of Pediatrics, Toronto, Canada.

J Pediatr Orthop B 2019 Feb 21. Epub 2019 Feb 21.

Department of Orthopedic Surgery and Division of Surgery, KK Women's and Children's Hospital, Singapore.

To investigate whether the timing of surgery and surgical technique affect the rate of osteonecrosis in unstable slipped capital femoral epiphysis (SCFE). This is a retrospective review of all unstable slips that were treated at our institution over 8.5 years with a minimum follow-up period of 12 months. Read More

Gait Posture 2019 Jan 29;69:156-161. Epub 2019 Jan 29.

Cliniques universitaires Saint-Luc, Service d'orthopédie et de traumatologie de l'appareil locomoteur, Avenue Hippocrate 10, B-1200 Brussels, Belgium; Université catholique de Louvain, Secteur des Sciences de la Santé, Institut de Recherche Expérimentale et Clinique,Neuro Musculo Skeletal Lab (NMSK), Avenue Mounier 53, B-1200 Brussels, Belgium.

Background: Slipped capital femoral epiphysis (SCFE) is a common disorder in adolescent for which no consensus exists regarding management. The aim of the present study was to analyze gait modifications following SCFE treated with in situ fixation (ISF) and to relate it to radiologic stage.

Research Question: To verify if gait biomechanics are impaired in patients with SCFE and to try to determine a degree of slippage from which gait modifications would appear. Read More

J Bone Joint Surg Am 2019 Feb;101(3):209-217

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, Massachusetts.

Background: Femoral morphology may influence the etiology of slipped capital femoral epiphysis (SCFE). We investigated whether radiographic parameters of femoral head-neck morphology are associated with a subsequent contralateral slip in patients presenting with unilateral SCFE.

Methods: We evaluated 318 patients treated for unilateral SCFE between 2000 and 2017. Read More

J Pediatr Orthop 2019 Mar;39(3):119-124

Division of Pediatric Orthopaedics, Department of Orthopaedics, Rainbow Babies and Children's Hospitals at Case Western Reserve University, Cleveland, OH.

Background: Factors including obesity and morphologic parameters around the hip that increase physeal stress are associated with an increased risk of slipped capital femoral epiphysis (SCFE). Recent evidence suggests that superior epiphyseal extension may confer stability to the physis and help protect against SCFE. The purpose of this study is to investigate the relationship between epiphyseal extension and SCFE using an age-matched and sex-matched cohort study. Read More

J Pediatr Orthop B 2019 Jan 29. Epub 2019 Jan 29.

Orthopaedic Institute for Children.

There is limited information regarding the outcome of in-situ fixation of unstable slipped capital femoral epiphysis (U-SCFE). We aimed to report the outcome of a cohort of patients with U-SCFE that were treated with in-situ fixation, by comparing it to the outcome of patients with stable slipped capital femoral epiphysis (S-SCFE).After Institutional Review Board approval, a retrospective analysis of patients with SCFE that were treated with in-situ fixation at a single institution between 2005 and 2016 was performed. Read More

Cureus 2018 Nov 15;10(11):e3598. Epub 2018 Nov 15.

Orthopedic Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, SAU.

Valgus slipped capital femoral epiphysis (SCFE) is very infrequent, and it is characterized by a superolateral displacement of the epiphysis on the metaphysis. To date, less than 100 cases of valgus SCFE have been described in the literature. Bilaterality of valgus SCFE is extremely rare, and it presents management challenges to the treating orthopedic surgeons. Read More

Medicine (Baltimore) 2019 Jan;98(3):e13997

Department of Orthopedic Surgery, The First Hospital of Jilin University, Changchun, Jilin, China.

Rationale: Slipped capital femoral epiphysis (SCFE) is a common hip problem in adolescents, usually individuals between 8 and 15 years old. Because of the frequent finding of growth abnormalities in affected children, various endocrine disturbances have been reported as the cause of the disease. However, there are few case reports of older patients in previous literature. Read More

J Pediatr Orthop 2019 Jan 14. Epub 2019 Jan 14.

Department of Orthopedic Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Background: Slipped capital femoral epiphysis (SCFEs) can be idiopathic or atypical (associated with renal failure, radiation therapy, and endocrine disorders). It is important to estimate the likelihood that atypical SCFE shows different clinical and radiographic characteristics and complications with typical SCFEs.

Methods: We retrospectively reviewed 53 patients (66 hips) with SCFEs managed between 1995 and 2016. Read More

Gynecol Endocrinol 2019 Jan 7:1-5. Epub 2019 Jan 7.

a Department of Endocrinology , The Second Affiliated Hospital of Harbin Medical University , Harbin , PR China.

17α-Hydroxylase/17,20-lyase deficiency (17-OHD) is a rare disease caused by mutations of the CYP17A1 gene. Slipped capital femoral epiphysis (SCFE) rarely occurs in adults. There are occasional reports of adrenal myelolipoma (AML) in 17-OHD. Read More

J Child Orthop 2018 Dec;12(6):599-605

Department of Orthopaedics and Traumatology, Baltalimani Bone and Joint Diseases Education and Research Hospital, Istanbul, Turkey.

Purpose: The aim of our explorative study was to compare the differences in the coronal alignments of the hip, knee and ankle on the slip side and non-slip sides in patients with slipped capital femoral epiphysis (SCFE).

Methods: The study group consisted of 28 patients. On the full-length standing radiographs, measurements of articulo-trochanteric distance (ATD), neck-shaft angle (NSA), femoral offset, hip-knee-ankle axis, femur-tibial angle, mechanical axis deviation ratio (MAD-r), anatomical medial proximal femoral angle (aMPFA), mechanical lateral proximal femoral angle (mLPFA), anatomical lateral distal femoral angle (aLDFA), mechanical lateral distal femoral angle (mLDFA), knee joint line congruency angle, mechanical medial proximal tibial angle (mMPTA), mechanical lateral distal tibial angle (mLDTA), ankle joint line orientation angle (AJOA), and leg length discrepancy (LLD) were performed. Read More

J Orthop Sci 2018 Dec 13. Epub 2018 Dec 13.

Department of Orthopaedic Surgery, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734-8551, Japan.

Background: Joint-preserving procedures should be considered as much as possible for hip disorders in pediatric and young patients. However, in patients with extensive osteonecrosis (ON) of the femoral head combined with severe collapse and advanced secondary osteoarthritis (OA), the optimal procedure has not been elucidated. This retrospective study aimed to investigate the postoperative outcomes of 11 patients who underwent transtrochanteric rotational osteotomy (TRO) alone or with a combination treatment for various hip disorders in young patients and to evaluate the usefulness of TRO. Read More

Clin Orthop Relat Res 2019 May;477(5):1111-1122

T. D. Lerch, F. Schmaranzer, S. D. Steppacher, M. Tannast, K. A. Siebenrock, Department of Orthopaedic Surgery, Inselspital, University of Bern, Bern, Switzerland E. N. Novais, Department of Pediatric Orthopedic surgery, Boston Children's Hospital, Boston, MA, USA K. Ziebarth, Department of Pediatric Surgery, Inselspital, University of Bern, Bern, Switzerland.

Background: Prophylactic pinning of the asymptomatic and normal-appearing contralateral hip in patients with unilateral slipped capital femoral epiphysis (SCFE) remains controversial. Understanding the minimal 10-year clinical, functional, and radiographic outcomes of the contralateral asymptomatic hip in unilateral SCFE may be helpful in the decision regarding whether the benefits associated with potentially preventing a SCFE are outweighed by the risk of additional surgery.

Questions/purposes: Among patients with SCFE treated with prophylactic pinning of the asymptomatic and contralateral hip, we sought (1) to determine the complications and reoperations; (2) to evaluate the development of cam deformities and the frequency and severity of osteoarthritis progression; and (3) to characterize hip pain and function as measured by the Harris hip score (HHS) and the Hip Disability and Osteoarthritis Outcome Score (HOOS) at minimal 10-year followup. Read More

Surgeon 2019 02 2;17(1):61. Epub 2018 Dec 2.

Faculty of Medicine, University of Berne, Berne, Switzerland.

Hip Int 2018 Nov 20:1120700018811313. Epub 2018 Nov 20.

Department of Trauma and Orthopaedics, Sheffield Children's Hospital, Sheffield, UK.

Background:: Management of avascular necrosis (AVN) of the femoral head in slipped capital femoral epiphysis (SCFE) is difficult. We proposed to ascertain if staged hip distraction could prevent collapse and recover the femoral head.

Methods:: A retrospective review of the hip database retrieved 16 children with unstable SCFE and AVN. Read More

J Pediatr 2019 Mar 16;206:184-189.e1. Epub 2018 Nov 16.

Department of Orthopaedic Surgery, Children's Mercy Hospital, Kansas City, MO.

Objective: To prospectively characterize pain locations in slipped capital femoral epiphysis (SCFE) and evaluate pain locations as predictors of a delay in diagnosis.

Study Design: This was an institutional review board approved prospective study of 110 children who underwent surgery for SCFE at a tertiary children's hospital between 2009 and 2015. Standardized pain diagrams were completed by 107 children. Read More

Br J Neurosurg 2018 Nov 19:1-4. Epub 2018 Nov 19.

a Department of Neurosurgery , NHS Tayside , Dundee , United Kingdom.

An 18-year-old man who underwent bilateral pinning of his hip joints after a left unstable Slipped Capital Femoral Epiphysis (right pinned prophylactically) was noted to have delayed secondary sexual characteristics and post-operative diabetes insipidus. The patient also described a history of fatigue, headache and polydipsia for the past 4 years. Endocrine investigations revealed reduced androgen levels, hypocortisolism, a borderline normal Serum ACE and secondary hypothyroidism. Read More

Am J Sports Med 2018 Dec 12;46(14):3446-3453. Epub 2018 Nov 12.

American Hip Institute, Westmont, Illinois, USA.

Background:: Hip arthroscopy for the treatment of instability in the setting of borderline dysplasia is controversial. Capsular management in such cases is an important consideration, and plication has been described as a reliable technique, with good midterm outcomes reported when indications are appropriate.

Hypothesis:: Patients with borderline dysplasia who have a lower lateral center-edge angle (LCEA) and greater age will be at a higher risk of failure after arthroscopic capsular plication. Read More

Bone Joint J 2018 Nov;100-B(11):1524-1532

Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil; Department of Biomechanics, Medicine and Rehabilitation of the Locomotor System, Clinical Hospital of Ribeirão Preto, Ribeirão Preto, Brazil.

Aims: The aims of this study were to evaluate the abductor function in moderate and severe slipped capital femoral epiphysis (SCFE), comparing the results of a corrective osteotomy at the base of the femoral neck and osteoplasty with 1) in situ epiphysiodesis for mild SCFE, 2) contralateral unaffected hips, and 3) hips from healthy individuals.

Patients And Methods: A total of 24 patients (mean age 14.9 years (sd 1. Read More

J Pediatr Orthop 2018 Oct 29. Epub 2018 Oct 29.

Children's Orthopaedics of Atlanta, Atlanta, GA.

Background: Increased intracapsular hip pressure is thought to be one of the possible etiologies of femoral head avascular necrosis after intra-articular proximal femoral fractures or acute slipped capital femoral epiphysis. The purpose of this study was to evaluate the relationship between intra-articular hip pressure (IAP) and epiphyseal perfusion pressure (EPP), and its dependency on skeletal maturity using a porcine model.

Methods: Seven female Yorkshire-hybrid pigs were used to study the direct relationship between IAP and EPP. Read More

Pediatrics 2018 Nov 22;142(5). Epub 2018 Oct 22.

Institute of Applied Health Sciences, University of Aberdeen, Aberdeen, United Kingdom.

: media-1vid110.1542/5828355774001PEDS-VA_2018-1067 BACKGROUND: Slipped capital femoral epiphysis (SCFE) is believed to be associated with childhood obesity, although the strength of the association is unknown.

Methods: We performed a cohort study using routine data from health screening examinations at primary school entry (5-6 years old) in Scotland, linked to a nationwide hospital admissions database. Read More

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:137-138

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

J Child Orthop 2018 Oct;12(5):454-460

Department of Orthopedic Surgery, Nationwide Children's Hospital, Columbus, Ohio, USA.

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. Read More

J Child Orthop 2018 Oct;12(5):444-453

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, USA.

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. Read More

J Child Orthop 2018 Oct;12(5):434-443

Department of Orthopaedics, Skane University Hospital, Lund, Sweden.

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. Read More

J Child Orthop 2018 Oct;12(5):428-433

Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, Alabama, USA.

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. Read More

Hawaii J Med Public Health 2018 09;77(9):215-219

University of Utah, Salt Lake City, UT; Shriners Hospitals for Children - Salt Lake City, Salt Lake City, UT (GTF).

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. Read More

Pediatr Ann 2018 Sep;47(9):e377-e380

Slipped capital femoral epiphysis (SCFE) is one of the most common hip pathologies that occurs during adolescence, and its incidence has been increasing over the past decades. For this reason, pediatricians should be aware of this entity to ensure an early diagnosis and intervene in a timely manner. The typical patient with SCFE is an adolescent who is obese presenting with hip pain, but it can also occur in children who are not obese; therefore, SCFE should be part of the differential diagnosis in any skeletally immature patient presenting with hip or knee pain. Read More

J Pediatr Orthop 2019 Mar;39(3):e165-e167

Division of Orthopaedic Surgery.

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. Read More

Pediatr Rev 2018 Sep;39(9):454-463

Montefiore Medical Center and the Children's Hospital at Montefiore, Bronx, NY.

Int Orthop 2018 Aug 22. Epub 2018 Aug 22.

Centre for Hip Preservation, Sheffield Children's Hospital NHS Foundation Trust and Doncaster Royal Infirmary, Sheffield, S102RA, UK.

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. Read More

JBJS Case Connect 2018 Jul-Sep;8(3):e60

Department of Radiology (A.D.), Pediatric Emergency Service (F.E. and V.S.), and Pediatric Orthopaedic Service (C.S., R.D., and D.C.), University Hospital of Geneva, Geneva, Switzerland.

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. Read More

Orthop J Sports Med 2018 Jun 25;6(6):2325967118781579. Epub 2018 Jun 25.

Department of Orthopedic Surgery, Boston Children's Hospital, Boston, Massachusetts, USA.

Background: Understanding the development of the capital femoral epiphysis is essential to identify pathologic variations that may lead to cam morphology.

Purpose/hypothesis: The purpose of this study was to investigate the development of the capital femoral epiphysis during childhood and adolescence, with specific morphologic analysis of the peripheral growth and the metaphyseal surface of the growth plate. We hypothesized that age- and sex-dependent morphologic variations of the peripheral growth (cupping) and surface anatomy (epiphyseal tubercle) of the epiphysis would be evident with increasing age. Read More

Orthop Rev (Pavia) 2018 Jun 4;10(2):7542. Epub 2018 Jul 4.

Guilan University of Medical Sciences, Rasht.

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. Read More

Int Orthop 2018 Jul 23. Epub 2018 Jul 23.

Second Department Orthopaedics, "P. and A. Kyriakou" Children's Hospital, Athens, Greece.

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. Read More