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ISSN 2007-087X (Impreso)
Órgano Oficial de la Sociedad Mexicana de Ortopedia Pediátrica

2007, Número 1

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Rev Mex Ortop Ped 2007; 9 (1)


Aspectos epidemiológicos de la presentación bilateral de la epifisiolistesis femoral proximal

Luna RRA, Harfush NA, Torres GA

Idioma: Español
Referencias bibliográficas: 41
Paginas: 5-9
Archivo PDF: 84.49 Kb.


RESUMEN

La epifisiolistesis femoral proximal (EFP) es la alteración de la cadera más común en adolescentes. La frecuencia de presentación bilateral en niños con EFP está reportada de 21 a 81%; de los deslizamientos de la cadera contralateral el 40% son asintomáticos. Determinar la frecuencia de presentación bilateral y los factores de riesgo en niños mexicanos permitiría el entornillamiento in situ de la cadera contralateral, disminuyendo así las complicaciones a largo plazo. En el estudio se incluyeron 87 pacientes con diagnóstico de EFP atendidos en el Hospital Shriners para Niños, Cd. de México. Se documentó edad de inicio, índice de masa corporal, tipo de EFP de acuerdo al tiempo de evolución, estabilidad y grado de desplazamiento. Conclusiones: Los pacientes con alteraciones en las hormonas tiroideas, ya sea hipotiroidismo primario o secundario tienen un riesgo 3.5 veces mayor de presentación bilateral en relación a aquéllos sin alteraciones endocrinológicas, por lo que podrían considerarse candidatos a entornillamiento in situ profiláctico al igual que aquéllos pacientes que en su primera consulta presentan EFP aguda o crónica agudizada, ya que estos pacientes tienen un riesgo 5.4 veces mayor de bilateralidad.


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