[Unusual forms of upper femur epiphysiolysis].
Among 56 slipped capital femoral epiphysis (SCFE) treated over 12 years, the authors report 10 particular cases: 3 hypopituitarisms, 1 adrenal hyperplasia, 1 case after radiotherapy, 2 osteochondrodysplasia, 2 cases with major defect of the posterior wall of femoral neck and 1 coxa valga slip. Literature is analysed with special reference to etiological forms representing a predisposition to slippage. Awareness of these conditions under which SCFE can occur is an important factor. Surgical stabilization is classical, but two points are discussed: stabilization may need to be augmented by autologous bone grafting or to be fixed with pins leading to normal growth without dysplasia of the hip.
Lascombes
P
P
Service de Chirurgie Infantile Orthopédique, Hôpital d'Enfants de Nancy, Vandoeuvre-les-Nancy.
Laurain
J M
JM
Lemelle
J L
JL
Prevot
J
J
Onimus
M
M
D000293:Adolescent; D000328:Adult; D002648:Child; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D005260:Female; D005270:Femur Head / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D011859:Radiography
Formes inhabituelles de l'épiphysiolyse fémorale supérieure.