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Hip physiolysis. Bilaterality in 62 cases followed for 20 years.
H P Jensen1, M S Steinke, S S Mikkelsen
1Department of Orthopedics, Holstebro Central Hospital, Denmark.
Acta Orthopaedica Scandinavica
|October 1, 1990
Summary
Bilateral slipped capital femoral epiphysis (SCFE) occurs more frequently than initially diagnosed. Early bilateral pinning in patients with SCFE can prevent long-term hip problems.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Hip joint biomechanics
Background:
- Slipped capital femoral epiphysis (SCFE) is a hip condition affecting adolescents.
- The frequency and long-term consequences of bilateral SCFE are not fully understood.
- Unilateral SCFE may progress to bilateral involvement.
Purpose of the Study:
- To evaluate the incidence of bilateral slipped capital femoral epiphysis (SCFE).
- To assess the long-term sequelae of SCFE, including arthrosis.
- To determine optimal management strategies for SCFE.
Main Methods:
- Retrospective review of 62 patients diagnosed with SCFE.
- Radiographic evaluation at initial admission and long-term follow-up (22 years).
- Analysis of bilateral hip involvement and development of arthrosis.
Main Results:
- 5 patients presented with bilateral SCFE initially.
- 9 patients developed contralateral hip slipping within 1-3 years.
- Radiographic evidence of bilateral sequelae was found in 30 of 62 patients at 22-year follow-up.
- Arthrosis was observed in hips with later-diagnosed slips.
Conclusions:
- Bilateral SCFE is more common than initially apparent.
- Long-term follow-up reveals significant bilateral sequelae.
- Prophylactic bilateral pinning at initial presentation is recommended for all patients with SCFE.