Delayed diagnosis of slipped upper femoral epiphysis

Familial slipped upper femoral epiphysis.

Slipped upper femoral epiphysis: a case of missed diagnosis.

A slipped upper femoral epiphysis (SUFE) is a known hip disorder in adolescents in which the proximal femoral epiphysis slips and displaces relative to the metaphysis. We report an obese 12-year-old boy who presented with acute pain in the left hip after a fall. He was otherwise healthy with no prior joint pain. Pelvic radiography was misread twice before a second fall led to a severe SUFE.

Treatment of slipped upper femoral epiphysis.

Slipping of the upper femoral epiphysis has been recognised since 1572 when it was first described by Pare, but its cause has not yet been fully determined. Treatment has been a controversial subject since the late nineteenth century when operative measures were first practised. The pendulum for and against operation has been swinging ever since, with a bias towards conservative treatment. The ...

The inheritance of slipped upper femoral epiphysis.

Two hundred and fourteen cases ofslipped upper femoral epiphysis were reviewed. Fourteen families provided more than one case, and in 23 other families the index case had one or more close relatives with osteoarthritis of the hip, six of whom had probably suffered from a slipped epiphysis. The mode of inheritance is discussed and is thought to be an autosomal dominant with variable penetrance i...

The Pathology of Slipped Upper Femoral Epiphysis

The weakest part ofthe epiphysial plate is the layer ofcartilage cells nearest the metaphysis. If the overlying periosteum is incised, a separation through this layer is easily produced (Haas 1917). Even if it is conceded, as shown experimentally by Harris (1950), that, in rats treated by growth hormone, broadening of this layer can diminish the cohesion of epiphysis and metaphysis, the resista...