Etiology of Slipping of the Upper Femoral Epiphysis

The Treatment of Adolescent Slipping of the Upper Femoral Epiphysis.

The Endocrine Basis for Slipping of the Upper Femoral Epiphysis

An endocrine basis for slipping of the upper femoral epiphysis is suggested by the fact that the lesion is nearly always accompanied by abnormalities of growth which in themselves appear to he caused by an endocrine disorder. This is especially true of those patients from whom an inadequate history of injury can be obtained. The usual disturbance of growth is the adiposo-genital syndrome, a con...

Surgical treatment for severe slipping of the upper femoral epiphysis.

We have used a modified technique of cervical osteotomy to treat a consecutive series of 23 patients with chronic slip of the upper femoral epiphysis. It has been successful in correcting both moderate and severe deformities with a low incidence of avascular necrosis, comparable to that seen after subtrochanteric osteotomies. We describe the operative details and discuss the features which make...

Replacement of the femoral head by open operation in severe adolescent slipping of the upper femoral epiphysis.

The stages in adolescent slipping of the upper femoral epiphysis are classified in relation to treatment. The operation of open replacement of the displaced femoral head is described, and the results of a personal series of seventy-three such operations are presented. Open replacement is excellent treatment for severe chronic slipping so long as the growth plate is still open. The greater incid...

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...