Radiological outcome and gait function of SCFE patients after growth arrest

Westhoff, Bettina; Schröder, K.; Weimann-Stahlschmidt, K.; Zilkens, Christoph; Willers, Reinhart; Krauspe, Rüdiger

doi:10.1007/s11832-013-0528-1

Cited by 8 publications

(4 citation statements)

References 19 publications

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“…In these studies, it was shown that changes in joint kinematics and clinical scores may be related to radiological deformity of the proximal femur, especially at the head-neck junction. 15,16 The correlation between the radiologic deformities of knee and ankle and clinical scores may be a subject of future research in SCFE patients over a long-term follow-up duration. None of our patients had ankle pain.…”

Section: Discussionmentioning

confidence: 99%

The effects of residual hip deformity on coronal alignment of the lower extremity in patients with unilateral slipped capital femoral epiphysis

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Taş

Çamurcu

et al. 2018

Journal of Children's Orthopaedics

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PurposeThe 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).MethodsThe 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. The data from the slip side were compared with those from the non-slip side.ResultsAt skeletal maturity, there were significant differences between the slip side and non-slip side in ATD (p <0.001), NSA (p <0.001), MAD-r (p <0.001), aMPFA (p <0.001), aLDFA (p = 0.03), mLDFA (p = 0.04), mLDTA (p = 0.02), AJOA (p <0.001) and LLD (p<0.001).ConclusionResidual deformity in the proximal femur after epiphyseal slip and premature epiphysiodesis could cause changes in the coronal alignment of the lower extremity. We can add lower extremity alignment examination to follow-up protocol to rule out secondary problems in patients with SCFE.Level of EvidenceLevel III, retrospective comparative study

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Section: Discussionmentioning

confidence: 99%

The effects of residual hip deformity on coronal alignment of the lower extremity in patients with unilateral slipped capital femoral epiphysis

Üçpunar

Taş

Çamurcu

et al. 2018

Journal of Children's Orthopaedics

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“…Proximal epiphysiolysis of the femur is still a neglected disease due to the lack of early diagnosis. 1,2 Simple pelvis radiography is the method of choice for the diagnosis through the measurement of the lateral angle between the proximal epiphysis and the diaphysis of the femur. Southwick, in his original work, 3 considered the angle of normality of around 10°based on a small number of individuals.…”

Section: Introductionmentioning

confidence: 99%

“…Objetivos Medir o valor médio do ângulo de Southwick utilizando dois métodos diferentes, manual (1) e digital (2), e estabelecer um valor de normalidade. Métodos Estudo primariamente descritivo, realizado com 100 crianças e adolescentes.…”

Section: Introductionunclassified

Avaliação do ângulo de Southwick em duzentos quadris de crianças e adolescentes assintomáticos

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Melo

Alves

et al. 2020

Rev Bras Ortop (Sao Paulo)

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Resumo Objetivos Medir o valor médio do ângulo de Southwick utilizando dois métodos diferentes, manual (1) e digital (2), e estabelecer um valor de normalidade. Métodos Estudo primariamente descritivo, realizado com 100 crianças e adolescentes. Foram excluídos indivíduos que apresentavam queixa ortopédica nos quadris e/ou joelhos, ou alterações de marcha. Para cada paciente, foi realizada uma radiografia na incidência lateral de Lowenstein, totalizando 100 radiografias e 200 quadris. O ângulo de Southwick foi medido de duas formas pelo mesmo pesquisador: pelo método convencional (1), traçando-se as retas com lápis e medindo o ângulo com o uso de goniômetro e negatoscópio, e por meio do editor de imagem GNU Image Manipulation Program (GIMP; código aberto), versão 2.7.0 (2), no qual foram traçadas as linhas e aferidos os ângulos de ambos os quadris em cada radiografia. Posteriormente, buscou-se avaliar a correlação entre os dois métodos e verificar o ângulo médio de Southwick correlacionando-o categoricamente por gênero, faixa etária e índice de massa corpórea (IMC) em adolescentes e crianças assintomáticos. Todas as radiografias foram autorizadas pelos responsáveis. O estudo foi aprovado pelo comitê de ética das instituições em que a pesquisa foi realizada. Resultados A média do ângulo de Southwick obtida pelo método convencional foi de 8,7° (±2,0°), e pelo método digital, foi de 9,9° (±1,8°). O ângulo obtido pelas duas formas teve significância estatística (p < 0,001). A maioria da população estudada (95%) tinha índice de massa corpórea (IMC) > 18,5, e a média dos ângulos esteve dentro do valor previamente estabelecido como normal (∼ 10°). Conclusão Demonstrou-se, pela primeira vez, utilizando uma amostra substanciosa, um valor normal do ângulo de Southwick medido em indivíduos assintomáticos. Além disso, o editor de imagem mostrou ser um método confiável para mensuração do ângulo de Southwick.

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“…Correlation of the clinical and radiological results of deformity after slippage with gait analysis (GA), which provides a better understanding of the functional results, may lead to a better evaluation of indications of future joint preservation surgeries. There are a limited number of studies on the evaluation of patients with SCFE by objective methods such as GA [8,[10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Correlation of Functional and Radiological Results with Three-Dimensional Gait Analysis in Patients with Unilateral Slipped Capital Femoral Epiphysis

et al. 2020

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Bu çalışmanın amacı femur başı epifiz kayması (FBEK) nedeniyle opere edilen hastalarda yürüme analizi ile klinik ve radyolojik sonuçların korelasyonunu değerlendirmekti. Hastalar ve Yöntem: Bu çalışmaya ortalama takibi 3.3 ± 1.4 yıl olan tek taraflı FBEK tanısıyla opere edilen 31 hasta dahil edildi. Klinik değerlendirme Harris kalça skoru (HKS) ve Pediatrik Veri Toplama Aracı (PVTA) skoru ile yapıldı. Radyolojik değerlendirme için kayma açısı, alpha alçısı, lateral femur başı oranı, artikulotrokanterik mesafe (ATM), ön-arka planda femur başı oranı, anterior başboyun offset oranı ve boyun şaft açısı ölçümü yapıldı. Yaş eşleşmeli 20 sağlıklı bireyden kontrol grubu oluşturuldu. Bulgular: PVTA transfer ve temel mobilite alt ölçeği; pelvis tilt eklem hareket açıklığı (EHA) (r = −0.7, p <0.001), ayak ilerleme açısı EHA (r =−0.4, p=0.02) ve ortalama omurga tilti (r=−0.6, p<0.001) ile anlamlı korelasyon gösterdi. Ayrıca ayak ilerleme açısı ile HKS (r=−0.5, p<0.001) ve PVTA ağrı/konfor alt ölçeği anlamlı korelasyon gösterdi (r=−0.5, p=0.015). Lateral femur başı oranı ile ortalama kalça fleksiyonu (r=−0.5, p<0.001), pelvik tilti (r=−0.4, p=0.04) ve ortalama omurga tilti (r=0.6, p<0.001) koreleydi. ATM ile ortalama kalça iç rotasyonu (r=0.5, p=0.03) ve ortalama ayak bileği ekstansiyonu (r=−0.4, p=0.03) koreleydi. Alfa açısı, Ön-arka femur başı oranı ve anterior baş boyun ofsetinin kinematik değerlerle korelasyonu gösterilemedi. Sonuç: FBEK nedeniyle opere edilen hastalarda klinik skorlar çoğunlukla pelvik tilt EHA, ayak ilerleme açısı ve omurga tilti ile korelasyon gösterirken, radyolojik sonuçlardan lateral femur başı oranı ve ATM'nin yürüme fonksiyonu ile ilişkili olduğu anlaşılmıştır.

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Radiological outcome and gait function of SCFE patients after growth arrest

Cited by 8 publications

References 19 publications

The effects of residual hip deformity on coronal alignment of the lower extremity in patients with unilateral slipped capital femoral epiphysis

The effects of residual hip deformity on coronal alignment of the lower extremity in patients with unilateral slipped capital femoral epiphysis

Avaliação do ângulo de Southwick em duzentos quadris de crianças e adolescentes assintomáticos

Correlation of Functional and Radiological Results with Three-Dimensional Gait Analysis in Patients with Unilateral Slipped Capital Femoral Epiphysis

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