title: Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis.
abstract: The purpose of this study was to assess the clinical and radiographic presentation of young adults in the mid-term follow-up after pinning in situ for mild to moderate slipped capital femoral epiphysis (SCFE). We postulated that there was a correlation between the degree of head-neck-offset decrease and clinical and radiographic signs of hip joint degeneration. Thirty-eight young adults (average age 23.4 ± 3.6 years old) with various grades of femoral head-neck-offset pathologies were assessed clinically via Harris hip score (HHS), Tegner-Lysholm score (TLS) and Short Form 36 (SF-36), and radiographic signs of OA were measured on plain X-ray films after a follow-up of 11.1 ± 3.8 years. We conclude that clinical and radiographic signs of joint degeneration appear early in the follow-up after SCFE, but there is no linear correlation between offset-pathology and joint degeneration.
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany. christoph.zilkens@med.uni-duesseldorf.de
authors.forename: Christoph
authors.initials: C
authors.lastname: Zilkens
authors.forename: Bernd
authors.initials: B
authors.lastname: Bittersohl
authors.forename: Marcus
authors.initials: M
authors.lastname: Jäger
authors.forename: Falk
authors.initials: F
authors.lastname: Miese
authors.forename: Johannes
authors.initials: J
authors.lastname: Schultz
authors.forename: Jörn
authors.initials: J
authors.lastname: Kircher
authors.forename: Bettina
authors.initials: B
authors.lastname: Westhoff
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Krauspe
mesh_terms: D000293:Adolescent; D000328:Adult; D017760:Bone Malalignment / Q000000981:diagnostic imaging / Q000473:pathology / Q000503:physiopathology; D001858:Bone Nails; D002648:Child; D005260:Female; D006304:Health Status; D006621:Hip Joint / Q000000981:diagnostic imaging* / Q000503:physiopathology / Q000601:surgery; D006801:Humans; D008297:Male; D015207:Osteoarthritis, Hip / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology; D011788:Quality of Life; D011859:Radiography; D020127:Recovery of Function; D012189:Retrospective Studies; D060048:Slipped Capital Femoral Epiphyses / Q000150:complications / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D055815:Young Adult