Subclinical bilateral involvement of the hip in patients with slipped capital femoral epiphysis—a multicentre study
| Autor: | Satoshi Hamai, Goro Motomura, Daisuke Hara, Mio Akiyama, Kazuyuki Takamura, Toshio Kitano, Takuaki Yamamoto, Tomoyuki Nakamura, Masanobu Ohishi, Yasuharu Nakashima, Yusuke Kohno, Iwamoto Yukihide |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Slipped Capital Femoral Epiphyses Prevalence Unilateral Slipped Capital Femoral Epiphysis medicine Humans Orthopedics and Sports Medicine In patient Femur Child Retrospective Studies Subclinical infection Original Paper business.industry Age Factors medicine.disease Surgery Radiography ROC Curve Multicenter study Femoral epiphysis Case-Control Studies Orthopedic surgery Disease Progression Female Hip Joint Radiology business Slipped capital femoral epiphysis Epiphyses |
| Zdroj: | International Orthopaedics. 38:477-482 |
| ISSN: | 1432-5195 0341-2695 |
| DOI: | 10.1007/s00264-013-2131-y |
| Popis: | This study was conducted to assess the posterior inclination of the contralateral femoral epiphysis in patients with unilateral slipped capital femoral epiphysis (SCFE).The posterior sloping angle (PSA) was measured using lateral radiographs in 67 patients with a unilateral SCFE and in 41 age-matched normal controls. A symptomatic epiphyseal slip was defined as the development of SCFE.The contralateral PSA in SCFE patients was more widely distributed and significantly larger compared to controls (15.0° vs. 9.0°, p 0.0001). Forty-seven hips (70.1%) had a PSA of greater than 12.8°, which was +2SD of the control hips. Of the 65 hips excluding the two cases with prophylactic pinning, 11 hips (16.9%) eventually developed a contralateral SCFE during adolescence and their PSA at the initial visit was significantly larger compared to patients without a contralateral SCFE (18.0° vs. 14.3°, p 0.005) with a cutoff value of 19°.These findings suggested the possibility of bilateral hip involvement in SCFE patients. Hips with greater degrees of PSA (19°) are likely to become symptomatic. |
| Databáze: | OpenAIRE |
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