title: Management of the contralateral hip in patients with unilateral slipped upper femoral epiphysis: to fix or not to fix--consequences of two strategies.
abstract: In the majority of patients with slipped upper femoral epiphysis only one hip is involved at primary diagnosis. However, the contralateral hip often becomes involved over time. There are no reliable factors predicting a contralateral slip. Whether or not the contralateral hip should undergo prophylactic fixation is a matter of controversy. We present a number of essential points that have to be considered both when choosing to fix the contralateral hip prophylactically as well as when refraining from surgery and instead following the patients with repeat radiographs.
authors.affiliation: Queen Silvia Children's Hospital, Department of Paediatric Surgery, SE-41685 Gothenburg, Sweden. goran.hansson@mbox312.swipnet.se
authors.forename: G
authors.initials: G
authors.lastname: Hansson
authors.forename: J
authors.initials: J
authors.lastname: Nathorst-Westfelt
mesh_terms: D000293:Adolescent; D001858:Bone Nails; D002648:Child; D005272:Femur Neck / Q000000981:diagnostic imaging / Q000254:growth & development; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008134:Long-Term Care / Q000379:methods; D011859:Radiography; D018570:Risk Assessment / Q000379:methods; D060048:Slipped Capital Femoral Epiphyses / Q000000981:diagnostic imaging / Q000473:pathology / Q000517:prevention & control* / Q000601:surgery