Slipped Capital Femoral Epiphysis

Meyer, Leslie C.; Stelling, Frank H.; Wiese, Frederick

doi:10.1097/00007611-195704000-00006

Cited by 7 publications

(1 citation statement)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…298,299,301,307,310,315,318 It seems likely that this direction of slipping occurs in the older child in whom there is a thin remnant of cartilage along the posterior femoral neck that allows the capital femur to be pushed laterally as it is slipping posteriorly. Rothermel also thought that the slip tended to occur more frequently in patients with a horizontally oriented growth plate.…”

mentioning

confidence: 99%

Femur

Skeletal Injury in the Child

View full text Add to dashboard Cite

FIGURE 21-4. Roentgenographic development of the distal femur. (A) Serial sections from a 3-year-old child (accident victim). Note the differences in the physeal/metaphyseal contours. There is a torus fracture in the distal metaphysis (arrows). (B) Irregular medial ossification (arrow) is evident in this specimen from a 7-year-old. (C) Femur from a 15-year-old showing early stages of physiologic epiphysiodesis.

show abstract

mentioning

confidence: 99%

Femur

Skeletal Injury in the Child

View full text Add to dashboard Cite

show abstract

Valgus Slipped Capital Femoral Epiphysis Fact or Fiction?

Segal

Weitzel

Davidson

1996

Clinical Orthopaedics and Related Research

View full text Add to dashboard Cite

Valgus Slipped Capital Femoral Epiphysis

Loder

O’Donnell

Didelot

et al. 2006

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

Slipped capital femoral epiphysis (SCFE) is a posteromedial displacement of the epiphysis on the metaphysis. Superolateral displacement of the epiphysis, the valgus SCFE, was first described by Müller, although some authors question its existence. We report 4 additional cases and review the literature regarding valgus SCFE. A retrospective review was performed; the child's sex, race, age, weight and height, symptom duration, type of SCFE (stable/unstable), and slip severity were recorded. There were 105 children (67 boys and 38 girls) with 141 idiopathic SCFEs. Four children were noted to have 7 stable valgus SCFEs. Statistically significant differences between the valgus and varus SCFEs were noted for symptom duration and body mass index, and valgus SCFEs tended to be less severe. When combining the data from the literature and the author's institution, there were 22 children with 30 valgus SCFEs at average age of 12.4 +/- 1.8 years; weight, 69.3 +/- 20.6 kg; height, 155.3 +/- 12.4 cm; and body mass index, 27.l +/- 7.1 kg/cm. The demographics of children with valgus SCFE are similar to children with routine SCFE except for sex: 76% of valgus SCFEs occurred in girls. Awareness of valgus SCFEs is necessary for both diagnosis and treatment. In a "valgus" SCFE, Klein line will always be normal, emphasizing the need for lateral radiographs when evaluating all children for SCFE. Single central screw fixation must be approached with caution because the more medial screw entry point places the screw path in immediate proximity to the femoral neurovascular bundle.

show abstract

Slipped Capital Femoral Epiphysis

Cited by 7 publications

References 0 publications

Femur

Femur

Valgus Slipped Capital Femoral Epiphysis Fact or Fiction?

Valgus Slipped Capital Femoral Epiphysis

Contact Info

Product

Resources

About