588 results match your criteria: "Imaging in Slipped Capital Femal Epiphysis"

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

Background: The treatment of slipped capital femoral epiphysis (SCFE) is always surgical. In situ fixation (ISF) is widely accepted to stop the epiphysis slipping. Femoroacetabular impingement (FAI) is recognized as a complication after ISF and is one of the major causes of early hip osteoarthritis.

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).
View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF
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.
View Article and Find Full Text PDF
Article Synopsis
  • - The study explores the effectiveness and reliability of three radiological methods used in Sweden to measure slip angles in patients with slipped capital femoral epiphysis (SCFE).
  • - Two experienced orthopaedic surgeons conducted measurements on preoperative hip radiographs and assessed the variability in their findings compared to those reported by treating clinicians.
  • - Findings indicate that the orthopaedic surgeons' experience is more crucial than the specific measurement method, with the calcar femorale method being recommended for its practicality.
View Article and Find Full Text PDF

How Strong Is the Ligamentum Teres of the Hip? A Biomechanical Analysis.

Clin Orthop Relat Res

September 2024

Department of Orthopaedic Surgery and Traumatology, HFR Cantonal Hospital, University of Fribourg, Fribourg, Switzerland.

Article Synopsis
  • The study examines the role of the ligamentum teres in intraarticular hip pain, particularly its significance in young patients undergoing joint-preserving surgeries, highlighting inconsistencies in previous biomechanical research.
  • Researchers aimed to determine key biomechanical properties of the ligament from patients who had undergone surgical hip dislocation and to analyze any patient-specific factors affecting these properties.
  • The study included 31 participants, all around 27 years old, with the majority being male, and focused on patients with femoroacetabular impingement while excluding those with prior surgeries or specific conditions affecting the hip.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to compare the modified Dunn procedure (MDP) and delayed Imhauser osteotomy (DIO) for treating moderate to severe stable slipped capital femoral epiphysis (SCFE) to determine which method leads to better outcomes and less joint damage over time.
  • Results showed that MDP provided greater correction of deformities and required fewer reoperations compared to DIO, although both procedures had similar clinical outcomes based on Heyman-Herndon scores.
  • The study suggests that MDP may be more effective in preventing additional complications and ensuring better alignment of the hip, highlighting its potential as a preferable option for managing SCFE.
View Article and Find Full Text PDF
Article Synopsis
  • * Researchers aimed to determine the range of acetabular and femoral version in patients before hip preservation surgery, comparing two common measurement methods, and assessing the impact of these differences on clinical factors and outcomes.
  • * A retrospective analysis was conducted on data from 282 hips in patients with various hip conditions, focusing on those with complete imaging and outcome scores, while excluding certain age groups and other specific factors.
View Article and Find Full Text PDF

Slipped capital femoral epiphysis after tumor prosthesis implantation in a patient receiving chemotherapy.

Jt Dis Relat Surg

February 2024

Universitätsklinikum Essen, Die Klinik für Tumororthopädie und Sarkomchirurgie Hufelandstraße 55, 45147 Essen, Germany.

While the usual etiology of slipped capital femoral epiphysis (SCFE) is idiopathic, there are many other factors that increase the predisposition to slippage. Chemotherapy can be one of them. In this article, we report a rare case of acute SCFE after tumor prosthesis implantation in a patient who received chemotherapy.

View Article and Find Full Text PDF

Slipped capital femoral epiphysis in an adult patient after surgery for pituitary tumor.

Asian J Surg

September 2024

Dept. of Orthopedic and Joint Surgery, Affiliated Hospital of Southwest Medical University, Luzhou City, Sichuan Province, 646000, People's Republic of China. Electronic address:

View Article and Find Full Text PDF

Case: A 1-year-old girl was treated with chemotherapy and hematopoietic stem cell transplantation because of CD40 ligand deficiency. Four years later, she presented with pain in her right leg, diagnosed as atypical acute slipped capital femoral epiphysis, without a clear cause, besides chemotherapy possibly. She was treated with fixation of the epiphysis with a cannulated screw.

View Article and Find Full Text PDF

Background: Over the past decade, hip arthroscopy has become more commonly used in the treatment of patients with femoroacetabular impingement (FAI) as well as those with many other intra-articular hip pathologies. As such, the indications for open surgical hip dislocation have narrowed to include complex intra-articular and extra-articular bony morphologies and revision hip preservation. Although surgical hip dislocation has been established as an effective approach, previous research using contemporary indications has been limited primarily to smaller cohorts with short-term follow-up.

View Article and Find Full Text PDF

Medium-long-term follow-up of slipped capital femoral epiphysis treated with in situ fixation and patient-acceptable symptom state evaluation.

J Pediatr Orthop B

September 2024

U.O.C. Ortopedia e Traumatologia Pediatrica, ASST Centro Specialistico Ortopedico Traumatologico Gaetano Pini-CTO.

This study evaluates the Patient Acceptable Symptom State (PASS) in patients with slipped capital femoral epiphysis (SCFE) treated with in situ fixation, focusing on medium to long-term outcomes and quality of life. Its primary goal is to establish a subjective well-being cutoff, using subjective methods and the iHOT33 scale, for assessing patients in future studies. Additionally, it explores functionality differences between mild and moderate-severe SCFE, case series epidemiology and potential complications.

View Article and Find Full Text PDF

Background: After a unilateral slipped capital femoral epiphysis (SCFE), the contralateral hip is at risk for a subsequent SCFE. However, further information with regard to risk factors involved in the development of contralateral SCFE must be investigated. The purpose of this study was to report the rate and risk factors for subsequent contralateral SCFE in adolescents treated for unilateral SCFE by exploring a mix of known and potential risk factors.

View Article and Find Full Text PDF

Introduction: A 38-year-old African American woman presented with right hip pain and movement restriction. Her medical history included a right hip and knee arthroplasty 10 years prior, history of Slipped Capital Femoral Epiphysis and osteonecrosis of the hip. Preoperative assessment was significant for multiple comorbidities such as obesity (BMI > 38), hypertension, asthma.

View Article and Find Full Text PDF

Shedding light on slipped capital femoral epiphysis: a nationwide study on Turkish population.

J Pediatr Orthop B

September 2024

Department of orthopedics and Traumatology, Health Sciences University, Faculty of Medicine, Ankara Oncology Training and Research Hospital, Ankara, Türkiye, On behalf of the Turkish Ministry of Health Pediatric Orthopedic Scientific Survey Group.

Objectives: This comprehensive study aimed to describe the epidemiologic and demographic distribution of slipped capital femoral epiphysis (SCFE) in Türkiye, a condition that globally presents at a rate of 10.8 cases per 100 000 children. Utilizing data from the Ministry of Health, we examined the specifics of SCFE in Türkiye, comparing the findings with those of other populations to clarify the country's unique epidemiological profile.

View Article and Find Full Text PDF

Background: The severity of degenerative changes of the hip is known to adversely impact the outcomes of the treatment of femoroacetabular impingement (FAI). Although the operative indications for FAI have expanded to include patients with moderate degrees of hip osteoarthritis, the exact stage of hip osteoarthritis at which surgery for FAI can offer clinical benefits is still uncertain.

Questions/purposes: (1) How does the survivorship free from conversion to THA and survivorship free from revision differ between patients with preexisting Tönnis Grades 2 or 3 changes and those without advanced degenerative changes (Tönnis Grade 0 or 1) after mini-open femoroacetabular osteoplasty? (2) What are the differences in hip-specific and general health outcome scores between the two groups after mini-open femoroacetabular osteoplasty?

Methods: From December 2003 to April 2019, we treated 901 patients for FAI, and their clinical data were systematically recorded in a longitudinally maintained database.

View Article and Find Full Text PDF
Article Synopsis
  • The study assessed the long-term risk of total hip arthroplasty (THA) in patients who underwent in situ fixation for slipped capital femoral epiphysis (SCFE) over nearly 50 years.
  • Out of 138 patients, 41% had THA for hips treated for SCFE, with female patients and higher preoperative slip angles increasing their risk.
  • The results indicate that the risk of needing THA post-SCFE fixation is significantly higher than that of the general Finnish population, highlighting important predictive factors for clinicians.
View Article and Find Full Text PDF
Article Synopsis
  • This study investigates the success of high-degree posterior rotational osteotomy in treating severe femoral head osteonecrosis among teenagers, involving 40 hips from 35 patients over an average follow-up of 9.7 years.
  • A range of patient backgrounds was included, with factors such as steroid use and previous fractures noted among the cases, and surgeries focused on restoring the viability of the femoral head.
  • Results indicated a significant improvement in the viable area of the femoral head post-surgery, with 95% of hips preventing further collapse, and a notable increase in bone viability over time following the procedure.
View Article and Find Full Text PDF
Article Synopsis
  • The study explores the effectiveness of the Free-Gliding Screw for treating slipped capital femoral epiphysis (SCFE) in children, analyzing how skeletal maturity affects femur growth and remodeling after surgery.
  • It involved assessing the skeletal maturity of young patients using a modified Oxford Bone score and took radiographic measurements to track changes in screw length and femoral structure over time.
  • Findings suggest that younger patients with certain maturity scores and open triradiate cartilage experienced significant growth of the screw and femoral remodeling, which could guide treatment decisions for SCFE.
View Article and Find Full Text PDF

Computed tomography (CT) is considered the gold standard for femoral version measurement. However, recent data have shown magnetic resonance imaging (MRI) as another modality to measure femoral version. This study aimed to correlate MRI and CT femoral version measurements in patients presenting with a femoroacetabular impingement (FAI)-related complaint.

View Article and Find Full Text PDF