Document Detail

Delayed-onset of slipped capital femoral epiphysis.
MedLine Citation:
PMID:  25338654     Owner:  NLM     Status:  Publisher    
BACKGROUND: Slipped capital femoral epiphysis in adults is uncommon. The purpose of this study was to report our own four cases (six hips) of slipped capital femoral epiphysis (SCFE) in adulthood and to review the cases reported in the literature. The authors attempted to investigate the various causative underlying disorders and clinical characteristics, treatment, outcome, and complications.
METHODS: We searched for all 22 reported cases of SCFE in adults age 18 years and older via MEDLINE and Google Scholar from 1963 to 2012 without any exception. In doing so, we documented our own four cases, along with seven additional reports that we found in the literature but were not reported by Hu et al. in 2011.
RESULTS: All of 22 cases involved causative pathology: panhypopituitary disorders in 11, hypothyroidism in five, Kallmann syndrome in three, postradiation hypoestrogenism in one, hypogonadotropic hypogonadism as sequel of meningitis in one, and Klinefelter syndrome in one. Eight cases (36 %) involved both hips. The most common treatment modality was internal fixation combined with hormonal replacement therapy. Nineteen hips (63 %) healed well without any complications after fixation of the slipped epiphysis. Avascular necrosis of the femoral head developed in one hip after in situ pin fixation.
CONCLUSION: Awareness of the variety of conditions under which SCFE can occur is an important factor in early diagnosis, especially in slippage at atypical ages. In the adults with SCFE, it is very important to look for bilateral involvement as this occurs in 36 % of cases.
Kwang Soon Song; Youg Wook Lim; In Young Ok; Si Wook Lee
Related Documents :
25338654 - Delayed-onset of slipped capital femoral epiphysis.
1288264 - Fatal hydrothorax associated with subclavian vein catheterization for hemodialysis.
22431444 - Conductor externalization of the riata internal cardioverter defibrillator lead: tip of...
23503634 - Significance of radical resection for pilomyxoid astrocytoma of the cerebellum: a case ...
17068684 - Recombinant factor viia in the management of postpartum bleeds: an audit of clinical use.
10940434 - Encephalitis due to a free-living amoeba (balamuthia mandrillaris): case report with li...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2014-10-23
Journal Detail:
Title:  Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association     Volume:  -     ISSN:  1436-2023     ISO Abbreviation:  J Orthop Sci     Publication Date:  2014 Oct 
Date Detail:
Created Date:  2014-10-23     Completed Date:  -     Revised Date:  2014-10-24    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Knockdown of glucose?regulated protein 78/binding immunoglobulin heavy chain protein expression by a...
Next Document:  Reconstructions after inveterated fractures and dislocations of the foot.