Document Detail

Increased Acetabular Depth May Influence Physeal Stability in Slipped Capital Femoral Epiphysis.
MedLine Citation:
PMID:  23354466     Owner:  NLM     Status:  Publisher    
BACKGROUND: Multiple mechanical factors affecting the hip have been associated with the development of slipped capital femoral epiphysis (SCFE). Whether acetabular depth plays a role in the development of a SCFE has not been elucidated. QUESTIONS/PURPOSES: (1) What is the prevalence of a deep acetabulum in SCFE? (2) Is the presence of a deep acetabulum associated with physeal instability? (3) Is the presence of a deep acetabulum associated with the occurrence of a contralateral SCFE? METHODS: We retrospectively reviewed 232 patients (156 males) who presented with a unilateral SCFE. Fifty (22%) subsequently developed a contralateral SCFE. The involved and uninvolved sides were evaluated for the presence of a deep acetabulum (DA). Preoperative radiographic parameters, slip stability, development of a contralateral SCFE, and demographic factors were then compared between patients with and without DA. RESULTS: DA was present in 120 hips (52%) with a SCFE. DA was more common in females (55 of 76 [72%]) than males (65 of 156 [42%]). Patients with DA presented with a higher lateral center-edge angle (33° versus 31°), slip angle (52° versus 43°), and with a lower body mass index (28.1 versus 30.0 kg/m(2)). Increased acetabular depth was more common in patients with an unstable SCFE (29 of 41 [71%]) than those with a stable SCFE (91 of 191 [48%]). The presence of DA either on the affected side or the contralateral side did not predict a contralateral SCFE. CONCLUSIONS: Despite not predicting a contralateral SCFE, DA may influence physeal stability if a SCFE does develop. Therefore, the contralateral hip with DA should be closely monitored. LEVEL OF EVIDENCE: Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.
David A Podeszwa; David Gurd; Anthony Riccio; Adriana De La Rocha; Daniel J Sucato
Related Documents :
11703816 - Management of adult immune thrombocytopenia.
24323166 - The effects of dexamethasone and levobupivacaine on postoperative pain in modified radi...
24482716 - Does adrenaline spraying over thyroidectomy area reduce bleeding?
12613516 - Thalidomide in myelofibrosis with myeloid metaplasia: a pooled-analysis of individual p...
15740486 - Pilot study to assess patient outcomes following endoscopic application of photodynamic...
10063406 - Infrainguinal revascularisation in the era of vein-graft surveillance--do clinical fact...
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-26
Journal Detail:
Title:  Clinical orthopaedics and related research     Volume:  -     ISSN:  1528-1132     ISO Abbreviation:  Clin. Orthop. Relat. Res.     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0075674     Medline TA:  Clin Orthop Relat Res     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Department of Orthopaedic Surgery, Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX, 75219, USA,
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:  Osteonecrosis Complicating Developmental Dysplasia of the Hip Compromises Subsequent Acetabular Remo...
Next Document:  The phenomenology and neurobiology of delusion formation during psychosis onset: Jaspers, Truman sym...