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Acetabular morphology in slipped capital femoral epiphysis: comparison at treatment onset and skeletal maturity.

Journal of children's orthopaedics·2018
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Periacetabular osteotomy to treat residual dysplasia in adolescents and young adults: indications, complications, results.

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SCFE: clinical aspects, diagnosis, and classification.

M B Millis1

  • 1Child and Young Adult Hip Program, Boston Children's Hospital, Department of Orthopaedic Surgery, Harvard Medical School, Boston, USA.

Journal of Children'S Orthopaedics
|May 23, 2017
PubMed
Summary
This summary is machine-generated.

Early diagnosis and mechanical classification of slipped capital femoral epiphysis (SCFE) can improve hip function. Advances in diagnosis and understanding pathomechanics are key to better treatment outcomes for this common childhood hip disorder.

Keywords:
SCFESlipped capital femoral epiphysisfemoroacetabular impingementhip impingementhip pathomechanics

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Area of Science:

  • Orthopedic surgery
  • Pediatric orthopedics
  • Hip biomechanics

Background:

  • Slipped capital femoral epiphysis (SCFE) is a significant cause of hip dysfunction in children and adults.
  • Late diagnosis remains a frequent challenge, contributing to poor long-term outcomes.

Purpose of the Study:

  • To enhance treatment outcomes for SCFE.
  • To outline recent advancements in SCFE diagnosis.
  • To improve understanding of SCFE pathomechanics and classification.

Main Methods:

  • Review of clinical experience at a high-volume SCFE center.
  • Consultation with leading clinical experts in pediatric orthopedics.
  • Comprehensive literature review on SCFE diagnosis, pathomechanics, and treatment.

Main Results:

  • SCFE continues to be a prevalent clinical issue, with delayed diagnosis still common.
  • Enhanced understanding of femoroacetabular impingement influences current SCFE classification and treatment strategies.

Conclusions:

  • SCFE leads to significant hip dysfunction throughout life.
  • Opportunities exist to improve patient outcomes through early clinical diagnosis.
  • Modern imaging and mechanically-based hip classification are crucial for optimal SCFE treatment.