title: Slipped capital femoral epiphysis in black children.
abstract: We reviewed 74 black children with 97 slipped capital femoral epiphyses (SCFEs) with an average follow-up of 3.7 years. There were 24 bilateral, 22 right, and 27 left SCFEs. The average age at operation was 12 years 6 months. The average slip severity was 28 degrees with 61 mild, 21 moderate, and 14 severe slips. Group I slips (54) were treated with multiple pins, and group II slips (43) were treated with a single central screw. Satisfactory results were achieved in 74% of the group I and 91% of the group II slips, with only three cases of chondrolysis. We conclude that single central screw fixation of SCFE in black children can lead to excellent results with a low incidence of chondrolysis.
authors.affiliation: Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
authors.forename: D D
authors.initials: DD
authors.lastname: Aronson
authors.forename: R T
authors.initials: RT
authors.lastname: Loder
mesh_terms: D000293:Adolescent; D001741:Black or African American; D001858:Bone Nails; D001863:Bone Screws; D002357:Cartilage Diseases / Q000209:etiology / Q000517:prevention & control; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000208:ethnology / Q000601:surgery*; D005500:Follow-Up Studies; D006621:Hip Joint / Q000000981:diagnostic imaging; D006801:Humans; D011183:Postoperative Complications; D011859:Radiography