Sequential slipped capital femoral epiphyses: who is at risk for a second slip?

The purpose of this study was to determine as to which of the children who present to our unit with a unilateral slipped capital femoral epiphysis (SCFE) are most at risk of presenting with a subsequent contralateral SCFE. Between 1988 and 2000, 171 patients presented with unilateral SCFE to our unit, whereas 40 presented with bilateral SCFE. At a minimum of 3 years follow up, 56 of the 171 patients had re-presented with a contralateral SCFE (31%).

Arthroscopic excision of ulnar styloid in stylocarpal impaction.

Stylocarpal impaction is an uncommon cause of ulnar-sided wrist pain in which the long ulnar styloid affects the triquetrum. Previous authors have described an open excision of the ulnar styloid. We present a new technique for arthroscopic identification and subsequent excision of the ulnar styloid.

Knee dislocations: where are the lesions? A prospective evaluation of surgical findings in 63 cases.

Objective: To evaluate soft-tissue injury patterns in a large series of patients with knee dislocations to identify frequency and associations that may aid in surgical planning.

Design: Prospective clinical study.

Setting: Two institutions, both level I trauma centers.