Clinical Radiology
Volume 63, Issue 1 , Pages 27-40 , January 2008

Slipped upper femoral epiphysis: imaging of complications after treatment

  • B. Tins

      Affiliations

    • Corresponding Author InformationGuarantor and correspondent: B. Tins, Robert Jones and Agnes Hunt Orthopaedic and District Hospital, Radiology, Twmpath Lane, Oswestry, Shropshire SY 10 7 AG, UK. Tel.: +44 1691 404189.
    • ,
  • V. Cassar-Pullicino
    • ,
  • I. McCall

Received 18 December 2006 ,Revised 20 March 2007 ,Accepted 13 May 2007.

References 

  1. Tins B, Cassar-Pullicino V. Slipped upper femoral epiphysis. In:  Davies AM,  Johnson K,  Whitehouse RW editor. Imaging of the hip and bony pelvis. Berlin, Heidelberg, New York: Springer; 2006;p. 173–194
  2. Kallio PE, Mah ET, Foster BK, et al. Slipped capital femoral epiphysis. Incidence and clinical assessment of physeal instability. J Bone Joint Surg Br. 1995;77:752–755
  3. Lehmann CL, Arons RR, Loder RT, et al. The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop. 2006;26:286–290
  4. Loder RT. The demographics of slipped capital femoral epiphysis. An international multicenter study. Clin Orthop. 1996;8–27
  5. Loder RT. Controversies in slipped capital femoral epiphysis. Orthop Clin North Am. 2006;37:211–221vii
  6. Aronson DD, Carlson WE. Slipped capital femoral epiphysis. A prospective study of fixation with a single screw. J Bone Joint Surg Am. 1992;74:810–819
  7. Hughes LO, Aronson J, Smith HS. Normal radiographic values for cartilage thickness and physeal angle in the pediatric hip. J Pediatr Orthop. 1999;19:443–448
  8. Loder RT, Richards BS, Shapiro PS, et al. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75:1134–1140
  9. Johnson K, Haigh SF, Ehtisham S, et al. Childhood idiopathic chondrolysis of the hip: MRI features. Pediatr Radiol. 2003;33:194–199
  10. Warner WC, Beaty JH, Canale ST. Chondrolysis after slipped capital femoral epiphysis. J Pediatr Orthop B. 1996;5:168–172
  11. Mandell GA, Keret D, Harcke HT, et al. Chondrolysis: detection by bone scintigraphy. J Pediatr Orthop. 1992;12:80–85
  12. Rachinsky I, Boguslavsky L, Cohen E, et al. Bilateral idiopathic chondrolysis of the hip: a case report. Clin Nucl Med. 2000;25:1007–1009
  13. Sternlicht AL, Ehrlich MG, Armstrong AL, et al. Role of pin protrusion in the etiology of chondrolysis: a surgical model with radiographic, histologic, and biochemical analysis. J Pediatr Orthop. 1992;12:428–433
  14. Lubicky JP. Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis. J Pediatr Orthop B. 1996;5:162–167
  15. Jofe MH, Lehman W, Ehrlich MG. Chondrolysis following slipped capital femoral epiphysis. J Pediatr Orthop B. 2004;13:29–31
  16. Arnold P, Jani L, Scheller G, et al. Results of treating slipped capital femoral epiphysis by pinning in situ [In German]. Orthopade. 2002;31:880–887
  17. Exner GU, Schai PA, Notzli HP. Treatment of acute slips and clinical results in slipped capital femoral epiphysis [In German]. Orthopade. 2002;31:857–865
  18. Leunig M, Fraitzl CR, Ganz R. Early damage to the acetabular cartilage in slipped capital femoral epiphysis. Therapeutic consequences [In German]. Orthopade. 2002;31:894–899
  19. Tudisco C, Caterini R, Farsetti P, et al. Chondrolysis of the hip complicating slipped capital femoral epiphysis: long-term follow-up of nine patients. J Pediatr Orthop B. 1999;8:107–111
  20. Arnold P, Jani L, Schoeder-Boersch H, et al. Management and treatment results for acute slipped capital femoral epiphysis [In German]. Orthopade. 2002;31:866–870
  21. Tokmakova KP, Stanton RP, Mason DE. Factors influencing the development of osteonecrosis in patients treated for slipped capital femoral epiphysis. J Bone Joint Surg Am. 2003;85-A:798–801
  22. Ballard J, Cosgrove AP. Anterior physeal separation. A sign indicating a high risk for avascular necrosis after slipped capital femoral epiphysis. J Bone Joint Surg Br. 2002;84:1176–1179
  23. Engelhardt P. Slipped capital femoral epiphysis and the “healthy” opposite hip [In German]. Orthopade. 2002;31:888–893
  24. Hackenbroch MH, Kumm DA, Rutt J. Dyamic screw fixation for slipped capital femoral epiphysis. Treatment results [In German]. Orthopade. 2002;31:871–879
  25. Gekeler J. Radiology and measurement in adolescent slipped capital femoral epiphysis [In German]. Orthopade. 2002;31:841–850
  26. Kaplan PA, Helms CA, Dussault R, et al. Vascular abnormalities of bone. 1st ed. Musculoskeletal MRI. Vol. 1. Philadelphia: Saunders; 2001;334–339
  27. Leunig M, Casillas MM, Hamlet M, et al. Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand. 2000;71:370–375
  28. Boyer DW, Mickelson MR, Ponseti IV. Slipped capital femoral epiphysis. Long-term follow-up study of one hundred and twenty-one patients. J Bone Joint Surg Am. 1981;63:85–95
  29. Boero S, Brunenghi GM, Carbone M, et al. Pinning in slipped capital femoral epiphysis: long-term follow-up study. J Pediatr Orthop B. 2003;12:372–379
  30. Pudas T, Mattila K, Svedström E, et al. Postoperative MRI evaluation of patients with slipped capital femoral epiphysis. In: European Society of Skeletal Radiology Meeting; Oxford, England. Skeletal Radiology. 2005;p. 582–583
  31. Carney BT, Birnbaum P, Minter C. Slip progression after in situ single screw fixation for stable slipped capital femoral epiphysis. J Pediatr Orthop. 2003;23:584–589
  32. Engelhardt P, Roesler H. Radiometry of epiphyseolysis capitis femoris. A comparison of conventional roentgen study with axial computerized tomography [In German]. Z Orthop Ihre Grenzgeb. 1987;125:177–182
  33. Schultz WR, Weinstein JN, Weinstein SL, et al. Prophylactic pinning of the contralateral hip in slipped capital femoral epiphysis: evaluation of long-term outcome for the contralateral hip with use of decision analysis. J Bone Joint Surg Am. 2002;84-A:1305–1314
  34. Southwick WO. Osteotomy through the lesser trochanter for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1967;49:807–835
  35. Klein A, Joplin RJ, Reidy JA, et al. Roentgenographic features of slipped capital femoral epiphysis. Am J Roentgenol Radium Ther Nucl Med. 1951;66:361–374
  36. Suh JS, Jeong EK, Shin KH, et al. Minimizing artifacts caused by metallic implants at MR imaging: experimental and clinical studies. AJR Am J Roentgenol. 1998;171:1207–1213
  37. Guermazi A, Miaux Y, Zaim S, et al. Metallic artefacts in MR imaging: effects of main field orientation and strength. Clin Radiol. 2003;58:322–328

PII: S0009-9260(07)00236-X

doi: 10.1016/j.crad.2007.05.011

Clinical Radiology
Volume 63, Issue 1 , Pages 27-40 , January 2008

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