Slipped upper femoral epiphysis

Parsons, Sarah; Barton, Cefin; Banerjee, Robin; Kiely, Nigel

doi:10.1016/j.cuor.2006.12.001

Cited by 9 publications

(21 citation statements)

References 73 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…4 The biomechanics behind the slipped upper femoral epiphysis in trauma are due to increased shear forces in a parallel direction to the epiphysis resulting in slippage. 2 These patients may present with antalgic gait, hip pain or knee pain (due to compression of the obturator nerve). 6 In a suspected case of SUFE with any of the above risk factors, both the hip and knee should be examined.…”

Section: Discussionmentioning

confidence: 99%

“…3 Based on the onset and presentation, SUFE can be classified into three groups (Table 1). 2 Complications include avascular necrosis, chondrolysis and osteoarthritis. 2 Treatment includes in situ fixation with a cannulated screw.…”

Section: Discussionmentioning

confidence: 99%

“…2 Complications include avascular necrosis, chondrolysis and osteoarthritis. 2 Treatment includes in situ fixation with a cannulated screw. If slip is severe, osteotomy is preferred.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Slipped upper femoral epiphysis – a case of a 'dodgem hip'

Thavarajah

Maroju²,

Narayanaswamy³

2009

Ann R Coll Surg Engl

View full text Add to dashboard Cite

A 15-year-old male patient of slim habitus presented three times over 3 days to the emergency department. Four weeks prior to the first attendance, he injured his left knee in a sudden jolt whilst going on a 'bumper car' (dodgems) at a funfair. Since this incident, he had walked with a limp due to the pain in his left knee. He had no previous medical history.On his first presentation, the left knee was examined with no positive findings. X-ray of the knee revealed no bony injury. The patient was discharged home with analgesia. The second time he presented, the left hip was also examined and a hip X-ray was taken ( Fig. 1). This showed a slipped upper femoral epiphysis (SUFE). The patient was given a pair of crutches and referred to fracture clinic. This patient then presented for the third time due to worsening knee pain. He was then referred to the orthopaedic team.A magnetic resonance imaging (MRI) scan done on the left hip revealed a SUFE with partial closure of the epiphysis (Fig. 2). The right femur was normal. Opinion from a consultant radiologist was sought, who agreed that these findings would be consistent with a 4-week-old injury due to the bone oedema.The affected hip was subsequently fixed with a single cannulated screw (Fig. 3). On-line Case Report Figure 1 Hip X-ray with slipped upper femoral epiphysis seen to left hip. Discussion

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Slipped upper femoral epiphysis – a case of a 'dodgem hip'

Thavarajah

Maroju²,

Narayanaswamy³

2009

Ann R Coll Surg Engl

View full text Add to dashboard Cite

show abstract

“…Slipped capital femoral epiphysis (SCFE) is traditionally defined as the displacement of the femoral head in respect to the femoral diaphysis [1][2][3]. However, the real displacement is carried out by the femoral neck and the shaft as the head remains in the acetabulum because of the ligamentum teres [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

“…However, the real displacement is carried out by the femoral neck and the shaft as the head remains in the acetabulum because of the ligamentum teres [2,[4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Geometrical and mechanical factors that influence slipped capital femoral epiphysis

Castro-Abril

Galván

Garzón‐Alvarado

2015

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

Slipped capital femoral epiphysis (SCFE) is an orthopedic pathology in which damage of the growth plate leads to the anterosuperior displacement of the femoral body in respect to the femoral head. Despite being a widely studied disease, its etiology is still unknown. This study was carried out to determine the influence of the physeal-diaphysis angle, body mass, the presence of the perichondrial ring, the type of physical activity, and physeal thickness on SCFE. For this purpose, a finite element analysis of the hip joint and the femur-physis interface was carried out. With the computational model, the Von Mises stresses along the growth plate were calculated and subsequently analyzed statistically to find their correlation with the studied factors. It was found that body mass, the type of physical activity, and the presence of the perichondrial ring had more statistical relevance for the physeal stresses than the physeal-diaphysis angle and the physeal thickness. Thus, our work suggests that changes in growth plate inclination and thickness do not influence the etiology of SCFE.

show abstract