A study of 78 children (110 hips) was undertaken in an attempt to assess the risk of avascular necrosis (AVN) after slipped capital femoral epiphysis based on the radiological appearances of the hip at the time of presentation. Physeal separation, which was defined as the amount of separation of the anterior lip of the epiphysis from the metaphysis on the frog lateral view, was assessed. Of the...

We report an interesting case of a 17-year-old normal-statured female who was diagnosed with congenital panhypopituitarism due to pituitary hypoplasia at the presentation of bilateral slipped capital femoral epiphysis. We emphasized the importance of endocrinologic evaluation in patients with atypical slipped capital femoral epiphysis to prevent potential complication of adrenal crisis during s...

Introduction: MEN 2B syndrome is distinguished by the occurrence of medullary thyroid cancer, pheochromocytoma, mucosal neuromas, marfanoid features, and skeletal anomalies, including kyphoscoliosis, joint laxity, pes cavus, and, in a smaller number cases, slipped capital femoral epiphysis (SCFE).
 Case report: We describe case report 15-years-old patient with diagnosis MEN2B rare manifest...

Several authors have reported complications from screw removal after treatment of slipped upper femoral epiphysis by single screw fixation, and have attributed these to poor screw design. We have developed a simple and reliable method of screw removal which uses a cannulated 8.0 mm end-threaded cancellous screw (Smith & Nephew Richards Medical, Memphis, Tennessee) and a specially designed cannu...

The authors report two cases of bone disorders in children with short stature, with confirmed growth hormone (GH) deficiency treated by GH supplementation. The first patient, aged 15 years, developed avascular necrosis of the femoral head and scoliosis. The second one, aged 17 years, had avascular necrosis of the femoral capital epiphysis on one side and acute slipped capital femoral epiphysis ...

Purpose of review Slipped capital femoral epiphysis is a common adolescent hip disorder. Management of chronic, stable slipped capital femoral epiphysis with in-situ screw fixation has been well defined, but controversy exists regarding management of the unstable hip disorder, the indications for prophylactic fixation of the contralateral hip and the role of osteotomy in the management of resid...

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.

This paper discusses the differential diagnosis of unusual and distinct pathological changes in two left femurs and one left pelvic bone fragment from the Necropolis of Santa Maria, Sintra (Portugal), dated from the 14-17 centuries. The differential diagnosis of the lesions gave rise to several possible pathological conditions, namely, slipped femoral capital epiphysis, Legg-CalvéPerthes diseas...

In this paper we wish to emphasise the danger of avascular necrosis of the capital femoral epiphysis arising as a late complication of osteomyelitis of the intertrochanteric region. This necrosis is primarily aseptic and is believed to follow interference with the vulnerable vascular channels supplying the capital femoral epiphysis rather than spread of infection into the joint. If, however, th...