• Instr Course Lect · Jan 2013

    Advances in hip preservation after slipped capital femoral epiphysis.

    • Emmanouil Morakis and Ernest L Sink.
    • Department of Orthopaedics, Hospital for Special Surgery, New York, NY, USA.
    • Instr Course Lect. 2013 Jan 1; 62: 415-28.

    AbstractThe metaphyseal deformity, in even a mild slipped capital femoral epiphysis (SCFE), results in acetabular labral and cartilage injury. SCFE is the most extreme form of femoroacetabular impingement, and the mechanism of cartilage and labral injuries is similar. Recent surgical advances for treating femoroacetabular impingement have made it possible to consider applying these techniques to the surgical treatment of SCFE deformities to lessen the risk of secondary osteoarthritis. The goals of treatment are to arrest slip progression and restore normal proximal femoral anatomy, thereby decreasing damage to the hip joint secondary to impingement. In situ pinning is the most effective treatment to halt short-term slip progression; outcomes are favorable in many hips. In medical centers with substantial experience with hip preservation techniques, open or arthroscopic osteochondroplasty can be used to treat mild SCFE, and a modified Dunn epiphyseal reorientation can be used for more severe deformities to decrease the potential for secondary osteoarthritis.

      Pubmed     Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…