Slipped Upper Femoral Epiphysis: Are We Missing the Point?

Familial slipped upper femoral epiphysis.

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...

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 ...