A case of a twenty years old male patient with unilateral slipped upper femoral epiphysis has been presented. An accompanying pituitary hypogonadism was revealed on physical examination and laboratory tests. Reports from literature of hormone-related epiphyseolysis have been discussed. The authors believe that the presented case of slipping has its origin in the found hormone deficiency.
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Mid-term outcomes of the modified Dunn procedure for slipped capital femoral epiphysis: results from a north African pediatric hip unit.
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January 2025
Department of Orthopaedics and Trauma Surgery Faculty of Medicine, Assiut University Hospitals, Assiut, 71515, Egypt.
Background: Slipped Capital Femoral Epiphysis (SCFE) is a prevalent pediatric orthopedic condition. Treatment options range from in situ pinning to various osteotomies, with the Modified Dunn procedure gaining significant attention over the past two decades. However, the suitability of this procedure for different SCFE subtypes and the risk of avascular necrosis (AVN), particularly in moderate and severe cases, remains controversial.
View Article and Find Full Text PDFAccuracy of intertrochanteric osteotomy for patients with slipped capital femoral epiphysis operated with 3D printed patient-specific guides.
J Orthop Surg Res
November 2024
Biomedical Engineering and Physics Amsterdam, UMC location University of Amsterdam, Meibergdreef 9, Amsterdam, the Netherlands.
Background: Slipped Capital Femoral Epiphysis (SCFE), is one of the most common hip disorders in adolescents, and is treated surgically by performing an Imhäuser osteotomy. The use of 3D printed guides has shown promise in improving the accuracy of the osteotomy. However, misplacement of the guide may limit the improvement.
View Article and Find Full Text PDF[Mid Term Results of Treatment of Unstable Slips of Proximal Femoral Epiphysis by Closed Reduction].
Acta Chir Orthop Traumatol Cech
September 2024
Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy, IPVZ a Fakultní nemocnice Bulovka, Praha.
Article Synopsis
- The study evaluated closed reduction and epiphyseodesis for treating unstable slips of the proximal femoral epiphysis, hypothesizing that its outcomes would be similar to both closed and open reduction methods noted in existing literature.
- Conducted between 2013-2023, the study involved 20 patients (average ages 13.4 for boys, 11.6 for girls) and employed various treatment techniques, with follow-ups ranging from 7 months to 7 years.
- Results revealed a mix of outcomes using two scoring methods, with 50%-70% rated as excellent; however, two patients experienced unsatisfactory results due to avascular necrosis (AVN).
Modified trochanteric triplane osteotomy for chronic moderate to severe slipped capital femoral epiphysis - a preliminary report.
Int Orthop
December 2024
Paediatric Orthopaedic Division, Department of Orthopaedics, PostGraduate Institute of Medical Education and Research, Chandigarh, India.
Article Synopsis
- The study investigates the effectiveness of modified trochanteric triplane osteotomy (MTTO) for treating chronic moderate and severe slipped capital femoral epiphysis (SCFE) in children and adolescents.
- A review of 11 patients revealed successful osteotomy union and significant improvement in hip function scores after surgery, with most patients showing favorable radiological outcomes.
- Despite the procedure's effectiveness, a persistent proximal femoral cam deformity may require additional treatment to address fully.
Low Rate of AVN and Complications in Unstable SCFE With Epiphyseal-metaphyseal Discontinuity After Treatment With a Modified Dunn Procedure.
Clin Orthop Relat Res
September 2024
Department of Orthopaedic Surgery, Inselspital, University of Bern, Bern, Switzerland.
Article Synopsis
- The text discusses the risks of avascular necrosis (AVN) in patients with unstable slipped capital femoral epiphysis (SCFE) treated with the modified Dunn procedure, highlighting uncertainties around the classification of instability and its correlation with surgical outcomes.
- The study aimed to assess the long-term effectiveness of the modified Dunn procedure by measuring the survivorship free from AVN, the need for additional surgeries, and the overall clinical outcomes after 10 years.
- A total of 159 patients were analyzed, with 58 showing intraoperatively observed epiphyseal-metaphyseal discontinuity, and outcomes were evaluated for a significant majority of these patients, providing important data for future treatment approaches.
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