Acute Slipped Capital Femoral Epiphysis

Aadalen, Richard J.; Weiner, Dennis S.; Hoyt, Walter A.; Herndon, Charles H.

doi:10.2106/00004623-197456070-00016

Cited by 100 publications

(37 citation statements)

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“…In contrast, the treatment strategies regarding timing of treatment and method of reduction, whether it be open or closed, vary in unstable or acute cases [3,4,18,22,34,38,39,47,49,52]. Nevertheless, the incidence of AVN in unstable slips stabilized by pinning is high and reportedly ranges from 4.7% to 58% [1,3,11,33,39,42,47] as opposed to stable slips that reportedly have AVN develop in as much as to 4.6% of hips, depending on the amount of slip [2,12,28,35].…”

Section: Introductionmentioning

confidence: 99%

Clinical Stability of Slipped Capital Femoral Epiphysis does not Correlate with Intraoperative Stability

Ziebarth

Domayer

Slongo

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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Background The most important objective of clinical classifications of slipped capital femoral epiphysis (SCFE) is to identify hips associated with a high risk of avascular necrosis (AVN) -so-called unstable or acute slips; however, closed surgery makes confirmation of physeal stability difficult. Performing the capital realignment procedure in SCFE treatment we observed that clinical estimation of physeal stability did not always correlate with intraoperative findings at open surgery. This motivated us to perform a systematic comparison of the clinical classification systems with the intraoperative observations. Questions/purposes We asked: (1) Is the classification of an acute versus chronic slip based on the duration of symptoms sensitive and specific in detecting intraoperative disrupted physes in patients with SCFE? (2) Is the stable/ unstable classification system based on clinical symptoms sensitive and specific in detecting intraoperative disrupted physes in patients with SCFE? Methods We retrospectively reviewed 82 patients with SCFE treated by open surgery between 1996 and 2009. We classified the clinical stability of all hips using the classifications based on onset of symptoms and on function. We classified intraoperative stability as intact or disrupted. We determined the sensitivity and specificity of two classification systems to determine intraoperative stability. Results Complete physeal disruption at open surgery was seen in 28 of the 82 hips (34%). With classification as acute, acute-on-chronic, and chronic, the sensitivity for disrupted physes was 82% and the specificity was 44%. With the classification of Loder et al., the values were 39% and 76%, respectively. Conclusion Current clinical classification systems are limited in accurately diagnosing the physeal stability in SCFE.

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Section: Introductionmentioning

confidence: 99%

Clinical Stability of Slipped Capital Femoral Epiphysis does not Correlate with Intraoperative Stability

Ziebarth

Domayer

Slongo

et al. 2012

Clinical Orthopaedics &Amp; Related Research

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“…The MFCA ascends the posterolateral femoral neck and, once intracapsular, is invested by a fibrous sheath and adjacent venular system. 11 Ganz and colleagues 12 performed detailed dye investigations of the MFCA and lateral epiphyseal vessels, the protection of which can allow for complex surgical exposure of the hip by preservation of the epiphyseal circulation.…”

Section: Vascular Anatomymentioning

confidence: 99%

“…Patients with prodromal symptoms of pain and limp have been known to experience a new injury with immediate worsening, a so-called acute-on-chronic slip. 11 Temporal classification is useful for describing chronicity but has less prognostic value.…”

Section: Classificationmentioning

confidence: 99%

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Slipped Capital Femoral Epiphysis

Georgiadis

Zaltz

2014

Pediatric Clinics of North America

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“…[14] ENDOKRİN NEDENLER Tiroid, seks hormonları ve büyüme hormonu patolojileri olan obez, hipogonadal erkek hastalarda bilateral tutulum daha fazla görülür. [15,16] Hastanın ağırlığı fazla ve yaşı 10'dan az ya da 16'dan fazla ise daha fazla biyokimyasal test yapmak gerekir ve bu hastalarda atipik FBEK görülür.…”

Section: -Femur Boynunun Retroversiyonuunclassified

Femur başı epifiz kayması olan hastalara güncel tanı ve tedavi yaklaşımı

Talmaç¹,

Sezer²

2014

TOTBİD

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Acute Slipped Capital Femoral Epiphysis

Cited by 100 publications

References 0 publications

Clinical Stability of Slipped Capital Femoral Epiphysis does not Correlate with Intraoperative Stability

Clinical Stability of Slipped Capital Femoral Epiphysis does not Correlate with Intraoperative Stability

Slipped Capital Femoral Epiphysis

Femur başı epifiz kayması olan hastalara güncel tanı ve tedavi yaklaşımı

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