1/19. Delayed separation of the capital femoral epiphysis after an ipsilateral transcervical fracture of the femoral neck.A displaced transcervical fracture of the femoral neck in a three-year-eight-month-old boy was fixed with two screws, which did not cross the growth plate. When he resumed walking five weeks after the injury, a delayed separation of the capital femoral epiphysis occurred. The displaced epiphysis was reduced and fixed with three unthreaded pins. In spite of disruption of the femoral neck at two sites, avascular necrosis of the femoral head did not occur. This was confirmed by two sequential isotope scans. Delayed epiphyseal separation after the femoral neck fracture and the preservation of the vascularity of the epiphysis in this case are both very unusual.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
2/19. Slipped capital femoral epiphysis associated with peripheral osteoarticular tuberculosis.We report a case of slipped capital femoral epiphysis that developed associated with a peripheral osteoarticular tuberculosis lesion located at the proximal metaphysis of the femur in contact with the growth plate in a 12-year-old boy. Multiple factors have been involved in slipped capital femoral epiphysis pathogenesis, but we believe an osteoarticular tuberculosis lesion is not a common finding as a possible etiological factor causing weakness of the growth plate and, therefore, the femoral head displacement.- - - - - - - - - - ranking = 2keywords = plate (Clic here for more details about this article) |
3/19. MRI features of confirmed "pre-slip" capital femoral epiphysis: a report of two cases.We describe the morphologic and signal changes detected about the proximal femoral growth plate in two patients with hip pain preceding the progression to slipped capital femoral epiphysis using magnetic resonance imaging.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
4/19. Slipped capital femoral epiphysis following contralateral infantile Blount's disease.Slipped capital femoral epiphysis (SCFE) and Blount's disease are reported to have a common etiology, but there is only one report describing two cases in which adolescent Blount's disease coexisted with SCFE. In this article, we describe a case of SCFE following contralateral infantile Blount's disease in an 11-year-old boy. This report is the first known case of SCFE associated with infantile Blount's disease. In this patient, pelvic tilt caused by leg length discrepancy associated with infantile Blount's disease and possible general weakness of the growth plate may be related to the occurrence of SCFE.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
5/19. Nonunion of femoral neck fracture and trochanteric osteotomy after a pinned, slipped capital femoral epiphysis: a case report.Femoral neck fracture as a complication of slipped capital femoral epiphysis (SCFE) is rare. Even rarer is a femoral neck nonunion as an additional complication. This is the first case reported in the literature of a failed valgus osteotomy for a femoral neck nonunion. A salvage operation involving a step-cut valgus/flexion/internal rotation osteotomy, open reduction and internal fixation, with a blade plate and cannulated screw, placement of an allograft femoral strut, and allograft bone grafting was successfully performed. femoral neck fractures following SCFE fixation are more difficult to treat because of abnormal femoral neck configuration. Therefore a valgus, flexion, and internal rotation producing osteotomy may need to be initially performed to prevent a femoral neck nonunion.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
6/19. Slipped capital femoral epiphysis.Slipped capital femoral epiphysis (SCFE) is an unusual disorder in which the epiphysis of the proximal femur slips through the growth plate in a posterior direction. Significant derangement of hip function results and can be accompanied by two complications: avascular necrosis and chondrolysis. The cause remains elusive although many theories have been advanced. This article provides an overview of the disease process, diagnostic guidelines, and current treatment considerations. A case study is included.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
7/19. Slipped capital femoral epiphysis caused by an implant--a case report.A nine-year old boy sustained a traumatic fracture of the neck of left femur and was treated by closed reduction and cancellous screw fixation. Fourteen months later the tips of the screws were found to be at the epiphyseal plate and there was evidence of slip of the upper femoral epiphysis. The opposite hip was normal and no other abnormalities were detected. It is postulated that the slip was caused by the implant.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
8/19. slipped capital femoral epiphyses complicating renal osteodystrophy: a report of three cases.Three adolescents with bilateral slipped capital femoral epiphyses complicating renal disease are presented. In one case, the severity of the deformities necessitated total hip replacement. Pathological specimens were available for evaluation. In all 3 cases, epiphysiolysis was accompanied by severe subperiosteal reabsorption along the medial aspect of the femoral neck, widening of the cartilaginous growth plate, and coxa vara. The radiographic diagnosis of a minimally displaced femoral epiphysis may precede the clinical symptoms. Early recognition of this complication is important, since the treatment of choice is prophylactic surgical stabilization before disabling deformities occur.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
9/19. Slipped epiphysis associated with hypothyroidism.Seven cases of slipped capital femoral epiphysis appearing concurrently with juvenile hypothyroidism are reported. This association seems to occur more commonly than the general incidence of slipped capital femoral epiphysis or of juvenile hypothyroidism would suggest, and the thyroid hormone deficiency and a diminished strength of the epiphyseal growth plate of the upper femur appear to be associated. Although concrete scientific data are as yet not available to define clearly the effect of thyroid hormone on the growth plate, the possible pathophysiology is discussed in light of available data.- - - - - - - - - - ranking = 2keywords = plate (Clic here for more details about this article) |
10/19. Slipped capital femoral epiphysis following radiation and chemotherapy.patients who received radiation to the proximal femoral epiphysis and chemotherapy in childhood appear to have an increased risk of subsequently developing epiphyseolysis. Every effort should be made to exclude the proximal femoral epiphysis from the radiation port whenever possible. If the epiphyseal plate is widened and irregular and the adjacent bone is sclerotic, prophylactic pinning may be indicated even in the absence of a grossly visible slip.- - - - - - - - - - ranking = 1keywords = plate (Clic here for more details about this article) |
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