[Slipped capital femoral epiphysis].

Slipped capital femoral epiphysis is a paediatric hip disorder that affects around 30 children in Norway each year. The symptoms are a limping gait and pain in the hip or knee. The condition is diagnosed by normal x-ray and treatment is surgical.

Magnetic resonance imaging at primary diagnosis cannot predict subsequent contralateral slip in slipped capital femoral epiphysis.

Objective: Prophylactic fixation of the contralateral hip in slipped capital femoral epiphysis (SCFE) is controversial, and no reliable method has been established to predict subsequent contralateral slip. The main purpose of this study was to evaluate if magnetic resonance imaging (MRI) performed at primary diagnosis could predict future contralateral slip.

Materials And Methods: Twenty-two patients with unilateral SCFE were included, all had MRI of both hips taken before operative fixation.

Prognostic factors for long-term outcome of chronic slipped capital femoral epiphysis treated with fixation .

Purpose: Predictive factors for long-term outcome after fixation for chronic slipped capital femoral epiphysis (SCFE) have so far not been systematically analysed. The aims of this study were to define predictors for long-term outcome and to assess the association between initial grade of slipping and post-slip deformities.

Methods: We studied 51 patients (60 hips) with chronic SCFE treated with fixation.

Good long-term outcome of the untreated contralateral hip in unilateral slipped capital femoral epiphysis : Forty hips with a mean follow-up of 41 years.

Purpose: There is no consensus regarding prophylactic fixation of the contralateral hip in slipped capital femoral epiphysis (SCFE). In order to further study this question, we evaluated the long-term natural history of untreated contralateral hips.

Methods: Forty patients treated for unilateral SCFE without evidence of subsequent contralateral slip during adolescence were reviewed with a mean follow-up of 36 years (range 21-50 years).

Percutaneous epiphysiodesis in the proximal tibia by a single-portal approach: evaluation by radiostereometric analysis.

Purpose: We modified the method for tibial epiphysiodesis by solely using a lateral approach to the physis. From this small-incision approach, the lateral as well as the medial part of the tibial physis were ablated. The aim of our study was to see if this operative technique might be as effective as a bilateral approach, and reduce the operation time and usage time of the image intensifier.