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The contralateral h...
The contralateral hip in slipped capital femoral epiphysis: Is there an easy-to-use algorithm to support a decision for prophylactic fixation?
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- Lindell, Mikael (author)
- Linköpings universitet,Linköping University,Ryhov County Hospital, Jönköping,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Ryhov Cty Hosp, Sweden
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- Skoldberg, M. (author)
- Ryhov County Hospital, Jönköping,Ryhov Cty Hosp, Sweden
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- Stenmarker, Margaretha, 1960 (author)
- Linköpings universitet,Linköping University,Gothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för pediatrik,Institute of Clinical Sciences, Department of Pediatrics,Sahlgrenska Academy,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Futurum Acad Hlth & Care, Sweden; Univ Gothenburg, Sweden
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- Michno, Piotr (author)
- Linköpings universitet,Linköping University,Ryhov County Hospital, Jönköping,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Ryhov Cty Hosp, Sweden
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- Herngren, Bengt (author)
- Lund University,Lunds universitet,Ortopedi, Lund,Sektion III,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Orthopaedics (Lund),Section III,Department of Clinical Sciences, Lund,Faculty of Medicine,Ryhov County Hospital, Jönköping,Ryhov Cty Hosp, Sweden; Lund Univ, Sweden
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(creator_code:org_t)
- 2022-08-02
- 2022
- English.
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In: Journal of Childrens Orthopaedics. - : SAGE Publications. - 1863-2521 .- 1863-2548. ; 16:4, s. 297-305
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Abstract
Subject headings
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- Purpose: To identify a specific factor that can support the decision for prophylactic fixation in unilateral slipped capital femoral epiphysis. Methods: This retrospective cohort study included a total national population of 379 children diagnosed with slipped capital femoral epiphysis from 2007 to 2013. Regression analysis used information on slip severity, clinical classification of the index hip, age, sex, age-adjusted body mass index, the difference in epiphyseal-diaphyseal angle, and comorbidity to identify any risk factor for the subsequent development of a slip in the contralateral hip. Four observers evaluated the triradiate cartilage following the modified Oxford bone score grade. The occurrence of later development of a contralateral slip in different stage of physeal closure was used to analyze the sensitivity and specificity for this method. Results: This study's only predictor for a subsequent contralateral slip was chronological age. At age 13 years or older, 1/15 in girls and 3/65 in boys suffered from a slip in the contralateral hip. Thus, when using age <13 years as a test for deciding when to do prophylactic fixation, the sensitivity would be 88% and specificity 51% for preventing contralateral slip. However, the correlation between the four different observers was too low to be considered useful when assessing the triradiate cartilage for skeletal maturity. Conclusion: We would advocate a prophylactic fixation for children <13 years diagnosed with a unilateral slipped capital femoral epiphysis as an easy-to-use algorithm.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Ortopedi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Orthopaedics (hsv//eng)
Keyword
- Slipped capital femoral epiphysis
- slipped upper femoral epiphysis
- prophylactic fixation
- body-mass index
- risk
- prediction
- age
- Orthopedics
- Pediatrics
- Slipped capital femoral epiphysis; slipped upper femoral epiphysis; prophylactic fixation
Publication and Content Type
- ref (subject category)
- art (subject category)
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