[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.
Service de Chirurgie Infantile Orthopédique, Hôpital d'Enfants de Nancy, Vandoeuvre-les-Nancy.
P
P
Lascombes
J M
JM
Laurain
J L
JL
Lemelle
J
J
Prevot
M
M
Onimus
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.