Localised immune complexes and slipped upper femoral epiphysis

Familial slipped upper femoral epiphysis.

Bilaterality in slipped upper femoral epiphysis.

The frequency of slipping and osteoarthritis of the contralateral hip was recorded in 260 patients with slipped upper femoral epiphysis between 1910 and 1960. Twenty-three of these patients (9%) had primary bilateral slipping, 32 (12%) had a contralateral slip diagnosed later during adolescence and a further 104 (40%) had signs of contralateral slipping at follow-up 16 to 66 years later, giving...

Chondrolysis in Slipped Upper Femoral Epiphysis

of 44 patients (55 hips) with slipped upper femoral epiphysis treated from 1963 to 1989, 13 (14 hips) developed chondrolysis. Eight hips had chondrolysis at the time of presentation, all in female patients who were either coloured or black and who had moderate or severe slips. The other six hips had persistent pin penetration of the joint; in five of these the pin penetrated the anterosuperior ...

Slipped upper femoral epiphysis after radiotherapy.

Eight slipped upper femoral epiphyses in patients who had had radiotherapy are described. These cases involved five patients in an "at risk" population of 48. This increased incidence is highly significant.

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 ...