1,604 results match your criteria Slipped Capital Femoral Epiphysis


Evaluation of the Southwick Angle in Two Hundred Hips of Asymptomatic Children and Adolescents.

Rev Bras Ortop (Sao Paulo) 2020 Jun 23;55(3):360-366. Epub 2020 Mar 23.

Departamento de Ortopedia e Traumatologia, Instituto Materno Infantil de Pernambuco, Recife, PE, Brasil.

 To measure the mean value of the Southwick angle using two different methods, the manual (1) and digital (2) methods, and to establish a normality value.  A primarily descriptive study with 100 children and adolescents. Individuals with orthopedic complaints regarding the hips and/or knees or gait alterations were excluded. Read More

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http://dx.doi.org/10.1055/s-0040-1701289DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316541PMC

Technical note: bone marrow aspirate needle to assist in-situ screw fixation of slipped capital femoral epiphysis.

J Pediatr Orthop B 2020 Jun 22. Epub 2020 Jun 22.

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

Slipped capital femoral epiphysis (SCFE) is characterized by posterior and inferior displacement of the capital femoral epiphysis in relationship to the metaphysis. Although universally accepted as a treatment modality for SCFE, in-situ pinning may be technically challenging in obese adolescents with large body habitus. Adequate screw position is important to achieve stabilization of the epiphysis and to allow closure of the growth plate. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000759DOI Listing

Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach.

J Child Orthop 2020 Jun;14(3):190-200

Department of Orthopaedic Surgery, Faculty of Medicine, Ain-Shams University, Cairo, Egypt.

Purpose: Treatment of moderate to severe stable slipped capital femoral epiphysis (SCFE) remains a challenging problem. Open reduction by modified Dunn procedure carries a considerable risk of osteonecrosis (ON). Imhauser osteotomy is capable of realigning the deformity without the risk of ON, but the remaining metaphyseal bump is implicated with significant chondro-labral lesions and accelerated osteoarthritis. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302412PMC

The metaphyseal fossa surrounding the epiphyseal tubercle is larger in hips with moderate and severe slipped capital femoral epiphysis than normal hips.

J Child Orthop 2020 Jun;14(3):184-189

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

Purpose: To compare the 3D morphology of the metaphyseal fossa among mild, moderate and severe stable slipped capital femoral epiphysis (SCFE) and normal hips.

Methods: We identified pelvic CT of 51 patients (55% male; mean 12.7 years (sd 1. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200010DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302408PMC

Increased body mass index percentile is associated with decreased epiphyseal tubercle size in asymptomatic children and adolescents with healthy hips.

J Child Orthop 2020 Jun;14(3):167-174

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

Purpose: To investigate whether body mass index (BMI) percentile impacts the morphology of the capital femoral epiphysis in children and adolescents without hip disorders.

Methods: We assessed 68 subjects with healthy hips who underwent a pelvic CT for evaluation of appendicitis. There were 32 male patients (47%) and the mean age was 11. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7302419PMC

Valgus slipped capital femoral epiphysis: a systematic review.

J Pediatr Orthop B 2020 Jun 15. Epub 2020 Jun 15.

Department of Orthopedic Surgery, Lebanese American University Medical Center-Rizk Hospital, Lebanese American University, School of Medicine.

Valgus slipped capital femoral epiphysis (SCFE) is a rare entity which leads to a proximolateral displacement of the hip epiphysis. The literature on valgus SCFE consists of case reports or case series. Since no evidence synthesis has been conducted, a systematic review on all published cases of valgus SCFE was conducted. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000758DOI Listing
June 2020
0.656 Impact Factor

Quantitative Evaluation of Hip Muscle Atrophy in Patients with Unilateral Slipped Capital Femoral Epiphysis Based on Magnetic Resonance Imaging.

Acad Radiol 2020 Jun 12. Epub 2020 Jun 12.

Department of Radiology, Shengjing Hospital of China Medical University, 36 Sanhao Street, Heping District, Shenyang 110004, China. Electronic address:

Rationale And Objectives: Hip muscle atrophy commonly occurs in patients with unilateral slipped capital femoral epiphysis (SCFE), its effect in patients with unilateral SCFE is worthy of further investigation. This study aimed to investigate the relationship between hip muscle cross-sectional area (M-CSA) and unilateral SCFE using magnetic resonance imaging.

Materials And Methods: Overall, 32 unilateral SCFE patients (SCFE group) and 15 asymptomatic subjects (control group) were evaluated. Read More

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http://dx.doi.org/10.1016/j.acra.2020.05.007DOI Listing

Risk Factors for Contralateral Slipped Capital Femoral Epiphysis: A Meta-analysis of Cohort and Case-control Studies.

J Pediatr Orthop 2020 Jul;40(6):e446-e453

Hospital for Special Surgery, New York, NY.

Background: Slipped capital femoral epiphysis (SCFE) is an important cause of hip pain and disability in pediatric patients. SCFE occurs bilaterally in 12% to 80% of cases, and the risk of contralateral SCFE is noted to be 2335 times higher than the index SCFE. Several studies have reported risk factors for contralateral SCFE; however, these studies have not been systematically analyzed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001482DOI Listing

Slipped Capital Femoral Epiphysis: A Review of the New Zealand Literature.

Authors:
Pierre Navarre

J Bone Joint Surg Am 2020 May 25. Epub 2020 May 25.

Southland Hospital, Invercargill, New Zealand.

Background: The New Zealand Māori and Pacific ethnicities have the highest burden of slipped capital femoral epiphysis (SCFE) worldwide. Therefore, New Zealand provides a rich and unique therapeutic and research environment for this devastating hip condition.

Methods: A systematic literature review was performed using MEDLINE, PubMed, and Google Scholar from January 1, 1900, to December 31, 2019, with the following keywords: New Zealand, SCFE, slipped capital femoral epiphysis, SUFE, and slipped upper femoral epiphysis. Read More

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http://dx.doi.org/10.2106/JBJS.20.00066DOI Listing

Causes of Delayed Diagnosis of Slipped Capital Femoral Epiphysis: The Importance of the Frog Lateral Pelvis Projection.

Cureus 2020 Apr 18;12(4):e7718. Epub 2020 Apr 18.

Orthopaedics, Katholisches Krankenhaus Dortmund-West - St. Lukas Klinikum, Düsseldorf, DEU.

Delayed diagnosis and treatment is a universally reported problem that impairs the prognosis of slipped capital femoral epiphysis (SCFE). Quite frequently, a delayed diagnosis of SCFE is observed in spite of serial admissions and examinations of the limping adolescent. Why do health professionals globally fail to make a definitive diagnosis of SCFE during the first examination of the patient? A retrospective study of 36 adolescents treated for stable SCFE and two adolescents treated for unstable SCFE has been performed. Read More

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http://dx.doi.org/10.7759/cureus.7718DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7234041PMC

The point of epiphyseal penetration affects rotational stability of screw fixation in slipped capital femoral epiphysis: A biomechanical study.

J Orthop Res 2020 May 19. Epub 2020 May 19.

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

The epiphyseal tubercle, a posterosuperior projection of the epiphysis into the metaphysis, serves as the axis of rotation in slipped capital femoral epiphysis (SCFE) and a source of physeal stability. We hypothesized that in a biomechanical model of single screw fixation of stable SCFE, a screw passing through the epiphyseal tubercle (the axis of rotation) would confer less rotational stability than a centrally placed screw. Three femurs were selected from a sample population of 8- to 15-year-old healthy hips to represent three stages of maturation: a "young" femur with a prominent epiphyseal tubercle and decreased epiphyseal cupping around the metaphysis, a "median" femur with a subsiding tubercle, and a "mature" femur with a subsided epiphyseal tubercle and increased peripheral epiphyseal cupping. Read More

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http://dx.doi.org/10.1002/jor.24747DOI Listing

Predicting Growth Quantitatively Through Proximal Tibia Radiograph Markers.

J Pediatr Orthop 2020 May 12. Epub 2020 May 12.

Departments of Orthopaedics and Rehabilitation.

Background: The creation of accurate markers for skeletal maturity has been of significant interest to orthopaedic surgeons. They guide the management of diverse disorders such as adolescent idiopathic scoliosis, leg length discrepancy, cruciate ligament injuries, and slipped capital femoral epiphysis. Multiple systems have been described to predict growth using radiographic skeletal markers; however, no such system has yet been developed for the proximal tibia. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001587DOI Listing

Patients' delay is the major cause for late diagnosis of slipped capital femoral epiphysis.

J Pediatr Orthop B 2020 May 2. Epub 2020 May 2.

Department of Orthopaedics, Skane University Hospital, Institute of Clinicial Sciences, Lund University, Lund, Sweden.

Background: Early diagnosis of slipped capital femoral epiphysis (SCFE) is essential in order to reduce slip severity and subsequent risk of sequelae. The aims of this study were to evaluate patients' and doctors' delay in SCFE diagnosis and to identify possible factors leading to delay.

Methods: We performed a retrospective review of medical charts and a personal interview with 54 consecutive patients admitted with a diagnosis of stable SCFE at three hospitals in Sweden between 2001 and 2009. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000738DOI Listing

The Outside-In Technique for Slipped Capital Femoral Epiphysis: A Safe and Reproducible Approach in Hip Arthroscopy.

Arthrosc Tech 2020 Apr 13;9(4):e493-e497. Epub 2020 Mar 13.

Ortopedika Hospital, Warsaw, Poland.

Femoroacetabular impingement syndrome caused by slipped capital femoral epiphysis (SCFE) can be successfully treated arthroscopically and with the minimally invasive, outside-in surgical technique. The advantages of the technique are that the residual cam-type deformity caused by the slippage can be corrected and reconstructed reliably and reproducibly before distracting the hip joint; and radiation with fluoroscopy is used for only definitive reduction and reconstruction, which is obtained with cannulated screws. In addition, this safe technique allows distraction of the hip after screw placement, without affecting the reconstruction, to address labral tears and chondrolabral delaminations caused by the impingement. Read More

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http://dx.doi.org/10.1016/j.eats.2019.12.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7189202PMC

Surgical treatment of symptomatic post-slipped capital femoral epiphysis deformity: a comparative study between hip arthroscopy and surgical hip dislocation with or without intertrochanteric osteotomy.

J Child Orthop 2020 Apr;14(2):98-105

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

Purpose: Our primary research question was to investigate the severity of deformity and articular damage as well as outcomes in patients undergoing hip arthroscopy compared with open surgery for the treatment of symptomatic slipped capital femoral epiphysis (SCFE) deformity.

Methods: Retrospective review of surgical treatment of symptomatic SCFE deformity with a minimum one-year follow-up. Patients were divided into three groups: the arthroscopic group, surgical hip dislocation(SHD) group and SHD with femoral osteotomy (SHD+ITO) group. Read More

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http://dx.doi.org/10.1302/1863-2548.14.190194DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184650PMC

Predicting subsequent contralateral slipped capital femoral epiphysis: an evidence-based approach.

J Child Orthop 2020 Apr;14(2):91-97

Division of Pediatric Orthopaedic Surgery, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.

Purpose: The purpose of this study was to identify risk factors for developing a subsequent contralateral slipped capital femoral epiphysis (SCFE) and provide a prediction score to quantify risk of subsequent slip at the time of initial presentation.

Methods: This retrospective study included patients that presented with a unilateral SCFE between 2006 and 2017. Chart and radiographic review were performed to collect demographic, clinical and radiographic risk factors. Read More

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http://dx.doi.org/10.1302/1863-2548.14.200012DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184641PMC

Pelvic Bone Deformity and Its Correlation with Acetabular Center-edge Angle.

Rev Bras Ortop (Sao Paulo) 2020 Apr 28;55(2):239-246. Epub 2020 Jan 28.

Grupo de Quadril do Hospital Ortopédico de Passo Fundo, Faculdade de Medicina da Universidade de Passo Fundo, Passo Fundo, RS, Brasil.

 The purpose of the present study was to evaluate the pelvic bone deformities and its correlation with the acetabular center-edge (CE) angle.  Between August 2014 and April 2015, we prospectively evaluated patients aged between 20 and 60 years old. The exclusion criteria were: metabolic disease, previous hip or spine surgery, radiograph showing hip arthrosis ≥ Tönnis two, severe hip dysplasia, global acetabular overcoverage, acetabular crossover sign, hip deformities from slipped capital femoral epiphysis (SCFE) or Leg-Perthes-Calveé, and bad quality radiographs. Read More

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http://dx.doi.org/10.1055/s-0039-3400516DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7186067PMC

Valgus slipped capital femoral epiphysis: presentation, treatment, and clinical outcomes using patient-reported measurements.

J Pediatr Orthop B 2020 Apr 13. Epub 2020 Apr 13.

Department of Women's and Children's Health, Karolinska Institutet, Stockholm, Sweden.

Valgus slipped capital femoral epiphysis (SCFE), is rare. This study describes the diagnosis, treatment and outcome of valgus SCFE in Uruguay. The medical records and radiographs were reviewed in eight consecutive children [mean age 11. Read More

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http://dx.doi.org/10.1097/BPB.0000000000000736DOI Listing

Fate of patients with slipped capital femoral epiphysis (SCFE) in later life: risk of obesity, hypothyroidism, and death in 2,564 patients with SCFE compared with 25,638 controls.

Authors:
Yasmin D Hailer

Acta Orthop 2020 Apr 14:1-7. Epub 2020 Apr 14.

Section of Orthopedics, Department of Surgical Sciences, Uppsala University, Sweden.

Background and purpose - Associations between obesity and slipped capital femoral epiphysis (SCFE) during adolescence are described; however, few studies report on the lifetime risk of obesity in patients with SCFE. In addition, with the obesity epidemic in children and adolescents, an increasing incidence of SCFE might be expected. An association of SCFE with hypothyroidism seems ambiguous, and the association between SCFE and depression and all-cause mortality has not yet been evaluated. Read More

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http://dx.doi.org/10.1080/17453674.2020.1749810DOI Listing

Top Ten Adult Manifestations of Childhood Hip Disorders: An Up-To-Date Review for General Radiologists.

Radiol Clin North Am 2020 May;58(3):529-548

Department of Imaging Sciences, Strong Memorial Hospital, Box 648, 601 Elmwood Avenue, Rochester, NY 14642, USA.

Congenital, developmental, and acquired conditions of the pediatric hip frequently present with sequelae in the adult. There is substantial overlap in the end-stage results of these pathologic conditions, including osseous changes, chondral/labral injuries, and premature osteoarthritis. This review discusses the top 10 etiopathogeneses of pediatric hip conditions and presents associated dysmorphisms in the adult on an illustrative, multimodality, case-based template. Read More

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http://dx.doi.org/10.1016/j.rcl.2020.01.002DOI Listing

The Role of Hyperinsulinemia in Slipped Capital Femoral Epiphysis.

J Pediatr Orthop 2020 Apr 3. Epub 2020 Apr 3.

Pediatric Endocrinology, Civil Hospital of Guadalajara Fray Antonio Alcalde, Guadalajara, Jalisco, Mexico.

Background: Obesity in the prepuberal stage has been directly associated with slipped capital femoral epiphysis (SCFE). Serum insulin level increases in the prepuberal and adolescence stage, to a greater extent in the obese population. The main objective of this article was to analyze the relationship between insulin levels and SCFE. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001557DOI Listing

The characteristics of the whole pelvic morphology in slipped capital femoral epiphysis: A retrospective observational study.

Medicine (Baltimore) 2020 Apr;99(14):e19600

Slipped capital femoral epiphysis (SCFE) is a very common disorder affecting the adolescent hip. The etiology of SCFE is multifactorial and mechanical force associated with the characteristic morphology of the hip is considered one of the causes of SCFE. We investigated the characteristics of whole pelvic morphology including pelvic incidence (PI) in patients with SCFE and compared it with pelvic morphology in healthy children. Read More

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http://dx.doi.org/10.1097/MD.0000000000019600DOI Listing

Proximal Femoral Deformity Following Threaded Prophylactic Fixation for Slipped Capital Femoral Epiphysis: Risk Stratification Using the Modified Oxford Score.

J Pediatr Orthop 2020 Mar 24. Epub 2020 Mar 24.

Shriners Hospitals for Children Lexington, Lexington, KY.

Background: This study assesses the effect of skeletal maturity on the development of iatrogenic proximal femoral deformity following threaded prophylactic screw fixation in patients presenting with unilateral slipped capital femoral epiphysis (SCFE).

Methods: Children who underwent threaded screw prophylaxis of the uninvolved hip (Group P) and those who were observed with no prophylaxis (Group N) on presentation with unilateral SCFE were compared. Skeletal maturity was assessed with the Modified Oxford Score (MOS). Read More

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http://dx.doi.org/10.1097/BPO.0000000000001552DOI Listing

CORR Insights®: What is the Accuracy and Reliability of the Peritubercle Lucency Sign on Radiographs for Early Diagnosis of Slipped Capital Femoral Epiphysis Compared With MRI as the Gold Standard?

Authors:
Kit M Song

Clin Orthop Relat Res 2020 05;478(5):1060-1061

K. M. Song, Senior Orthopedic Consultant, AIM Specialty Health and Clinical Professor of Orthopedic Surgery, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

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http://dx.doi.org/10.1097/CORR.0000000000001232DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170679PMC

Factors Affecting Outcomes of Slipped Capital Femoral Epiphysis.

Cureus 2020 Feb 5;12(2):e6883. Epub 2020 Feb 5.

Orthopaedics, Attikon University Hospital, Athens, GRC.

Slipped capital femoral epiphysis (SCFE) is a frequent cause of nontraumatic painful hip of the adolescence. It is the result of the separation of the proximal femoral growth cartilage at the level of the hypertrophic cell zone. The femoral neck metaphysis rotates externally and migrates proximally relative to the femoral head epiphysis, which is stably seated in the acetabulum; early diagnosis and in situ stabilization grants the best long term results. Read More

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http://dx.doi.org/10.7759/cureus.6883DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7058394PMC
February 2020

Moon (or Eid) Crescent Sign of the Femoral Head.

Cureus 2020 Feb 4;12(2):e6867. Epub 2020 Feb 4.

Trauma and Orthopaedics, Medcare Orthopaedics and Spine Hospital, Dubai, ARE.

Avascular necrosis (AVN) of the femoral head following slipped capital femoral epiphysis (SCFE) is a serious complication that often leads to a permanent disability. Radiological findings of AVN may take up to two years to become apparent. This means painful waiting for children, parents, and treating teams. Read More

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http://dx.doi.org/10.7759/cureus.6867DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7053701PMC
February 2020

Predicting epiphyseal stability of slipped capital femoral epiphysis with preoperative CT imaging.

J Child Orthop 2020 Feb;14(1):68-75

Rady Children's Hospital, San Diego, USA.

Background: We analyzed preoperative CT scans of hips with slipped capital femoral epiphysis (SCFE) for characteristics that could be predictive of intraoperative epiphyseal stability and developed a set of imaging criteria for stable and unstable SCFE. We then compared this grading system with the Loder classification.

Methods: We reviewed preoperative CT imaging to develop a SCFE stability classification system. Read More

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http://dx.doi.org/10.1302/1863-2548.14.190123DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7043117PMC
February 2020

Increased Hip Intracapsular Pressure Decreases Perfusion of the Capital Femoral Epiphysis in a Skeletally Immature Porcine Model.

J Pediatr Orthop 2020 Apr;40(4):176-182

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

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http://dx.doi.org/10.1097/BPO.0000000000001284DOI Listing

Functional Outcomes of Hip Arthroscopy for Pediatric and Adolescent Hip Disorders.

Clin Orthop Surg 2020 Mar 13;12(1):94-99. Epub 2020 Feb 13.

Division of Pediatric Orthopaedics, Seoul National University Children's Hospital, Seoul, Korea.

Background: There is a paucity of literature on the use of hip arthroscopy for pathologic conditions in skeletally immature patients. Thus, the indications and safety of the procedure are still unclear. The purpose of this study was to investigate the safety and functional outcomes of hip arthroscopy for pediatric and adolescent hip disorders. Read More

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http://dx.doi.org/10.4055/cios.2020.12.1.94DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7031430PMC

Salvage of failed in-situ pinning in severe unstable slipped capital femoral physis by surgical dislocation and capital realignment.

J Clin Orthop Trauma 2020 Mar-Apr;11(2):217-221. Epub 2018 Sep 7.

Centre for Hip Preservation, Sheffield Children's Hospital NHS Foundation Trust, Sheffield, S10 2TH, UK.

Aims: We describe surgical dislocation with capital realignment as an option for management of failed in-situ pinning in children with severe unstable slipped capital femoral physis.

Patients And Methods: A retrospective data collection from our hospital hip database retrieved 7 patients with severe unstable slipped capital femoral physis who had failed in-situ pinning with severe deformity and grossly restricted movements. The failure of pinning in-situ was due to slip progression with inadequate screw purchase in four patients, stress fracture of the femoral neck in one patient, and screw head impingement in two patients. Read More

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http://dx.doi.org/10.1016/j.jcot.2018.09.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7026614PMC
September 2018

Age- and sex-specific morphologic changes in the metaphyseal fossa adjacent to epiphyseal tubercle in children and adolescents without hip disorders.

J Orthop Res 2020 Feb 24. Epub 2020 Feb 24.

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

The epiphyseal tubercle plays an important role in epiphyseal stabilization. While the majority of studies have focused on tubercle morphology, there is a paucity of information on the morphological features of the metaphyseal fossa, where the tubercle sits on the metaphysis. The goal of this study was to determine the developmental changes in the capital femoral metaphyseal fossa. Read More

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http://dx.doi.org/10.1002/jor.24638DOI Listing
February 2020

Hip Pain in Children.

Dtsch Arztebl Int 2020 01;117(5):72-82

Department of Orthopedics and Trauma Surgery, University Hospital Cologne; Department of Pediatrics, University Hospital Cologne.

Background: Atraumatic hip pain in children is one of the most common symptoms with which pediatricians, orthopedists, and general practitioners are confronted, with an incidence of 148 cases per 100 000 persons per year.

Methods: This article is based on publications up to April 2019 that were retrieved by a selective search in the PubMed data- base, including case reports and reviews.

Results: Infants with fever often have purulent coxitis, which can be diagnosed by blood tests and ultrasonography. Read More

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http://dx.doi.org/10.3238/arztebl.2020.0072DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7054595PMC
January 2020

Application of functional data analysis to explore movements: walking, running and jumping - A systematic review.

Gait Posture 2020 03 3;77:182-189. Epub 2020 Feb 3.

Institute for Research in Rehabilitation Medicine at Ulm University (IFR Ulm), Bad Buchau, Germany; Department of Orthopedics and Orthopedic Surgery, Federseeklinik, Bad Buchau, Germany. Electronic address:

Background Signals are continuously captured during the recording of motion data. Statistical analysis, however, usually uses only a few aspects of the recorded data. Functional data analysis offers the possibility to analyze the entire signal over time. Read More

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http://dx.doi.org/10.1016/j.gaitpost.2020.02.002DOI Listing

A Novel Classification System for Slipped Capital Femoral Epiphysis Based on the Radiographic Relationship of the Epiphyseal Tubercle and the Metaphyseal Socket.

JB JS Open Access 2019 Oct-Dec;4(4):e0033. Epub 2019 Nov 8.

Departments of Orthopedic Surgery (D.A.M., P.M., and E.N.N.) and Radiology (S.B.), Boston Children's Hospital, Boston, Massachusetts.

Recent studies have suggested that the epiphyseal tubercle serves as a fulcrum for rotation in slipped capital femoral epiphysis (SCFE). However, radiographic evidence of the rotational mechanism is limited. In this study, we describe a novel radiographic staging system for SCFE based on the anatomic relationship between the epiphyseal tubercle and the metaphyseal socket. Read More

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http://dx.doi.org/10.2106/JBJS.OA.19.00033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959907PMC
November 2019

Capital Femoral Epiphyseal Cupping and Extension May Be Protective in Slipped Capital Femoral Epiphysis: A Dual-Center Matching Cohort Study.

J Pediatr Orthop 2020 Feb 7. Epub 2020 Feb 7.

Boston Children's Hospital, Boston, MA.

Background: Peripheral cupping of the capital femoral epiphysis over the metaphysis has been reported as a precursor of cam morphology, but may also confer stability of the epiphysis protecting it from slipped capital femoral epiphysis (SCFE). The purpose of this study was to investigate the relationship between a novel morphologic parameter of inherent physeal stability, epiphyseal cupping, and the development of SCFE in a dual-center matched-control cohort study.

Methods: We performed a dual-center age-matched and sex-matched cohort study comparing 279 subjects with unilateral SCFE and 279 radiographically normal controls from 2 tertiary children's hospitals. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001528DOI Listing
February 2020

What Is the Accuracy and Reliability of the Peritubercle Lucency Sign on Radiographs for Early Diagnosis of Slipped Capital Femoral Epiphysis Compared With MRI as the Gold Standard?

Clin Orthop Relat Res 2020 May;478(5):1049-1059

D. A. Maranho, P. E. Miller, S. Hosseinzadeh, Y.-J. Kim, E. N. Novais, Department of Orthopaedic Surgery, Child and Young Adult Hip Preservation Program at Boston Children's Hospital, Boston, MA, USA D. A. Maranho, Hospital Sírio-Libanês, Brasília, Federal District, Brazil D. A. Maranho, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, São Paulo, Brazil S. D. Bixby, M. George, Department of Radiology, Boston Children's Hospital, Boston, MA, USA.

Background: The diagnosis of slipped capital femoral epiphysis (SCFE) often is delayed. Although lack of clinical suspicion is the main cause of delayed diagnosis, typical radiographic changes may not be present during the initial phases of SCFE. The peritubercle lucency sign for follow-up of the contralateral hip in patients with unilateral SCFE may be beneficial in assisting the early diagnosis. Read More

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http://dx.doi.org/10.1097/CORR.0000000000001136DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170665PMC
May 2020
2.765 Impact Factor

Consensus recommendations on the classification, definition and diagnostic criteria of hip-related pain in young and middle-aged active adults from the International Hip-related Pain Research Network, Zurich 2018.

Br J Sports Med 2020 Jun 20;54(11):631-641. Epub 2020 Jan 20.

Aspetar Qatar Orthopaedic and Sports Medicine Hospital, Doha, Qatar.

There is no agreement on how to classify, define or diagnose hip-related pain-a common cause of hip and groin pain in young and middle-aged active adults. This complicates the work of clinicians and researchers. The International Hip-related Pain Research Network consensus group met in November 2018 in Zurich aiming to make recommendations on how to classify, define and diagnose hip disease in young and middle-aged active adults with hip-related pain as the main symptom. Read More

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http://dx.doi.org/10.1136/bjsports-2019-101453DOI Listing

Slipped Capital Femoral Epiphysis in Children without Obesity.

J Pediatr 2020 Mar 16;218:192-197.e1. Epub 2020 Jan 16.

Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA. Electronic address:

Objective: To evaluate rates and characteristics of slipped capital femoral epiphysis (SCFE) in children who are not obese to prevent missed diagnoses and subsequent complications.

Study Design: A multicenter, retrospective review identified all patients with SCFE from January 1, 2003 to December 31, 2012. Patients were excluded if they received previous surgery at an outside institution, had no recorded height and weight, or had medical co-morbidity associated with increased risk of SCFE. Read More

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http://dx.doi.org/10.1016/j.jpeds.2019.11.037DOI Listing
March 2020
3.790 Impact Factor

Slipped capital femoral epiphysis after treatment of femoral neck fracture.

Pak J Med Sci 2020 Jan;36(1):S94-S97

Mansoor Ali Khan, FCPS. Department of Orthopedics, The Indus Hospital, Karachi, Pakistan.

Slipped capital femoral epiphysis (SCFE) in children after treatment of femoral neck fracture is a very rare condition. This complication should be recognized promptly and treated urgently. The risk of development of this complication can be minimized by anatomical reduction of the fracture and stable internal fixation of the fracture. Read More

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http://dx.doi.org/10.12669/pjms.36.ICON-Suppl.1725DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6943107PMC
January 2020

The Atypical Patient With Slipped Capital Femoral Epiphyses May Be at Increased Risk for a Missed Contralateral Slip.

Orthopedics 2020 Mar 13;43(2):e114-e118. Epub 2020 Jan 13.

Slipped capital femoral epiphysis (SCFE) is a commonly encountered hip disorder. The goal of this study was to describe the incidence of missed contra-lateral SCFE as well as to identify risk factors. The authors hypothesized that contralateral slips are more often missed in patients with severe involvement of the treated side. Read More

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http://dx.doi.org/10.3928/01477447-20200107-04DOI Listing

A novel surgical navigation technology for placement of implants in slipped capital femoral epiphysis.

Int J Med Robot 2020 Feb 8;16(1):e2070. Epub 2020 Jan 8.

Sheik Zayed Institute for Surgical Intervention, Children's National Health System, Washington, DC.

Background: Fixation with a single screw is the recommended treatment for slipped capital femoral epiphysis (SCFE). Achieving optimal implant positioning can be difficult owing to the complex geometry of the proximal femur in SCFE. We assessed a novel navigation technology incorporating an inertial measurement unit to facilitate implant placement in an SCFE model. Read More

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http://dx.doi.org/10.1002/rcs.2070DOI Listing
February 2020

Risk Factors for Contralateral Slipped Capital Femoral Epiphysis: A Meta-Analysis of Cohort and Case-Control Studies.

J Pediatr Orthop 2019 Dec 10. Epub 2019 Dec 10.

Hospital for Special Surgery, New York, NY.

Background: Slipped capital femoral epiphysis (SCFE) is an important cause of hip pain and disability in pediatric patients. SCFE occurs bilaterally in 12% to 80% of cases, and the risk of contralateral SCFE is noted to be 2335 times higher than the index SCFE. Several studies have reported risk factors for contralateral SCFE; however, these studies have not been systematically analyzed. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001482DOI Listing
December 2019

Normative Values for Capital Femoral Epiphyseal Extension of the Developing Hip Based on Age, Sex, and Oxford Bone Age.

J Pediatr Orthop 2020 May/Jun;40(5):e335-e340

Department of Orthopaedic Surgery, Rainbow Babies and Children's Hospital, Cleveland, OH.

Background: Recent evidence suggests that increasing capital femoral epiphyseal extension may be an adaptive response that underlies the development of most cam morphology, whereas slipped capital femoral epiphysis is associated with its deficiency. However, there is an absence of rigorous data on the normal development of epiphyseal extension in the hip joint in modern adolescents. The aim of this study was to establish normative values for anterior and superior epiphyseal extension in a normal adolescent control population. Read More

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http://dx.doi.org/10.1097/BPO.0000000000001476DOI Listing
December 2019

The role of PPARγ in childhood obesity-induced fractures.

Genes Nutr 2019 27;14:31. Epub 2019 Nov 27.

2Western Bone & Joint Institute, University of Western Ontario, London, ON N6A 2J9 Canada.

Globally, obesity is on the rise with ~ 30% of the world's population now obese, and childhood obesity is following similar trends. Childhood obesity has been associated with numerous chronic conditions, including musculoskeletal disorders. This review highlights the effects of childhood adiposity on bone density by way of analyzing clinical studies and further describing two severe skeletal conditions, slipped capital femoral epiphysis and Blount's disease. Read More

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http://dx.doi.org/10.1186/s12263-019-0653-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6880598PMC
November 2019

Evaluation of the Three-Dimensional Translational and Angular Deformity in Slipped Capital Femoral Epiphysis.

J Orthop Res 2020 May 10;38(5):1081-1088. Epub 2019 Dec 10.

Rady Children's Hospital, San Diego, 3020 Children's Way, MC 5062, San Diego, California, 92123.

The purpose of this study was to quantify three-dimensional translational and angular deformity (defined as theta) present at the proximal femoral physis in slipped capital femoral epiphysis (SCFE), and to use theta to differentiate between SCFE hips, contralateral unaffected hips, and normal hips by comparing to the current gold standard measure of the Southwick slip angle (SSA). 3DCT reconstructions of the pelvis and femur in SCFE patients and normal adolescents were obtained and pelvic position was standardized. The center point and direction vector of the femoral epiphysis was determined. Read More

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http://dx.doi.org/10.1002/jor.24548DOI Listing

Alpha Angle as a Predictor of Impending Contralateral Slipped Capital Femoral Epiphysis in an Asian Population.

Clin Orthop Surg 2019 Dec 12;11(4):466-473. Epub 2019 Nov 12.

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

Background: Prophylactic pinning of the uninvolved side after unilateral slipped capital femoral epiphysis (SCFE) is controversial. The alpha angle, a measurement of femoral head-neck aspherity, was proposed as a predictor of progression of contralateral SCFE with a treatment threshold of greater than 50.5°. Read More

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http://dx.doi.org/10.4055/cios.2019.11.4.466DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6867914PMC
December 2019

Prophylactic pinning should be considered in patients at risk for slipped capital femoral epiphysis.

J Rural Med 2019 Nov 20;14(2):191-195. Epub 2019 Nov 20.

Department of Orthopaedic Surgery, Faculty of Medicine, University of Tsukuba, Japan.

The use of prophylactic contralateral pinning for slipped capital femoral epiphysis (SCFE) remains controversial. This study evaluated the outcome of SCFE treatment and examined the use of prophylactic pinning. The study included 44 patients (33 men, 11 women; 54 hips [right, 31; left, 23]), with mean age of 12. Read More

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http://dx.doi.org/10.2185/jrm.3011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6877918PMC
November 2019

Total Hip Arthroplasty for Secondary Causes of Arthritis An Increase in Time and Money.

Bull Hosp Jt Dis (2013) 2019 Dec;77(4):233-237

Background: Total hip arthroplasty (THA) is a frequently performed, highly successful orthopedic procedure. Although primary osteoarthritis (PA) is the most common reason for (THA), there are several secondary conditions that lead to degenerative hip disease that are successfully treated with THA. The purpose of this study was to examine the incidence of these secondary causes of arthritis (SA) leading to THA and to compare the relative surgical costs, operating times, and hospital length of stay (LOS) for THA done for PA versus SA. Read More

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December 2019

Pediatric Anesthesia Concerns and Management for Orthopedic Procedures.

Authors:
Jeffrey P Wu

Pediatr Clin North Am 2020 02;67(1):71-84

Department of Anesthesiology, Jersey Shore University Medical Center, 1945 Route 33, Neptune, NJ 07753, USA. Electronic address:

Anesthetic management of pediatric orthopedic patients is uniquely challenging. Approach to the pediatric patient must consider heightened preoperative anxiety and its postoperative behavioral and pain effects. Frequent respiratory infections can complicate timing of surgery and anesthetic care. Read More

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http://dx.doi.org/10.1016/j.pcl.2019.09.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7172179PMC
February 2020

Pediatric Hip and Pelvis.

Pediatr Clin North Am 2020 02;67(1):139-152

Seaview Orthopaedic & Medical Associates, 1200 Eagle Avenue, Ocean, NJ 07712, USA. Electronic address:

The most common pediatric orthopedic conditions of the hip and pelvis involve abnormal architecture of the joint leading to pain and dysfunction. Developmental dysplasia of the hip and femoroacetabular impingement are 2 common and distinct forms of structural pathology in the pediatric hip. The authors also discuss 2 of the more common, and often questioned, pediatric hip disorders-slipped capital femoral epiphysis and Legg-Calvé-Perthes disease. Read More

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http://dx.doi.org/10.1016/j.pcl.2019.09.003DOI Listing
February 2020