Capital Femoral Epiphysis with Acute Unstable Valgus Type Slip Managed with Closed Reduction and Percutaneous Fixation: A Case Report

被引：2

作者：

Cheok, Tim ^{[1
,2
,3
]}

Jennings, Matthew ^{[1
,4
]}

Berman, Morgan ^{[1
]}

Williams, Kanihska ^{[1
,2
]}

Rawat, Jaideep Singh ^{[1
,5
,6
]}

Foster, Bruce K. ^{[1
,5
]}

机构：

[1] Alice Springs Hosp, Dept Trauma & Orthopaed, Alice Springs, NT, Australia

[2] Flinders Univ S Australia, Coll Med & Publ Hlth, Adelaide, SA, Australia

[3] Palmerston North Hosp, Dept Orthopaed Surg, Palmerston North, New Zealand

[4] Womens & Childrens Hosp, Dept Plast & Reconstruct Surg, Adelaide, SA, Australia

[5] Flinders Med Ctr, Dept Orthopaed Surg, Adelaide, SA, Australia

[6] Womens & Childrens Hosp, Dept Orthopaed Surg, Adelaide, SA, Australia

来源：

ORTHOPEDIC RESEARCH AND REVIEWS | 2023年 / 15卷

关键词：

SCFE; closed reduction; percutaneous pinning; valgus slip; SCREW;

D O I：

10.2147/ORR.S429844

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Case: We present a case of acute unstable valgus slipped capital femoral epiphysis (SCFE) in an 8-year-old female who presented after a trip and fall. The patient was managed with emergent closed reduction and percutaneous screw fixation and prophylactic fixation of contralateral side after 6 weeks. At 18-month follow-up, the patient was symptom free with a good range of movement and no evidence of slip progression, chondrolysis or avascular necrosis of the femoral head. Conclusion: We demonstrate that, in this case, closed reduction and percutaneous fixation provided satisfactory outcome at 18-month follow-up. This case highlights the need for both anteroposterior and lateral radiographs.

引用

页码：207 / 213

页数：7

共 31 条

[21] The modified Dunn procedure provides superior short-term outcomes in the treatment of the unstable slipped capital femoral epiphysis as compared to the inadvertent closed reduction and percutaneous pinning: a comparative clinical study [J].

Novais, Eduardo N. ;

Maranho, Daniel A. ;

Heare, Travis ;

Sink, Ernest ;

Carry, Patrick M. ;

O'Donnel, Courtney .

INTERNATIONAL ORTHOPAEDICS, 2019, 43 (03) :669-675

[22] The Utility of Posterior Sloping Angle in Predicting Contralateral Slipped Capital Femoral Epiphysis [J].

Park, SangDo ;

Hsu, Jason E. ;

Rendon, Norma ;

Wolfgruber, Hayley ;

Wells, Lawrence .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2010, 30 (07) :683-689

[23] Acute slipped capital femoral epiphysis: The value and safety of urgent manipulative reduction [J].

Peterson, MD ;

Weiner, DS ;

Green, NE ;

Terry, CL .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1997, 17 (05) :648-654

[24]

Segal LS, 1996, CLIN ORTHOP RELAT R, P91

[25] Screw Placement After Pinning of Slipped Capital Femoral Epiphysis: A Postoperative CT Scan Study [J].

Senthi, Suren ;

Blyth, Phil ;

Metcalfe, Russell ;

Stott, Ngaire Susan .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2011, 31 (04) :388-392

[26] Valgus Slipped Capital Femoral Epiphysis: Prevalence, Presentation, and Treatment Options [J].

Shank, Craig F. ;

Thiel, Eric J. ;

Klingele, Kevin E. .

JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2010, 30 (02) :140-146

[27] Myth Busters: An AOA Symposium AOA Critical Issues [J].

Tornetta, Paul, III ;

Kocher, Mininder S. ;

Probe, Robert A. ;

Foster, Timothy E. ;

Silvestri, Lorenzo .

JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2014, 96A (19) :e170(1)

[28]

Upasani VV, 2014, J PEDIATR ORTHOPED, V34, P661, DOI 10.1097/BPO.0000000000000161

[29] Valgus slipped capital femoral epiphysis: report of two cases and a comprehensive review of literature [J].

Venkatadass, K. ;

Shetty, Ajoy P. ;

Rajasekaran, S. .

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2011, 20 (05) :291-294

[30] Valgus slipped capital femoral epiphysis [J].

Yngve, DA ;

Moulton, DL ;

Evans, EB .

JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B, 2005, 14 (03) :172-176

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