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

2007, Number 1

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Rev Mex Ortop Ped 2007; 9 (1)

Epidemiological aspects of bilateral presentation of the slipped capital femoral epiphysis

Luna RRA, Harfush NA, Torres GA

Language: Spanish
References: 41
Page: 5-9
PDF size: 84.49 Kb.


ABSTRACT

Slipped capital femoral epyphysis (SCFE) is the most frequent hip pathology in adolescents. Bilateral presentation ranges from 21 to 81% ; 40% of contralateral hip slippages are symptomatic. The knowledge of the incidence of bilateral presentation and risk factors among mexican children, will help the identification of patients for in situ fixation of the affected contralateral hip, avoiding long term complications. In this study 87 patients with the diagnosis of SCFE were included, all treated at the Shriners Hospital for Children, Mexico City. Age of onset, body mass index, type of SCFE according to evolution, stability and degree of displacement were documents. Conclusions: Patients with thyroid hormone alterations, both primary and secondary hypothyroidism have 3.5 times an increased risk to have a bilateral involvement compared to thos patients with no endocrinological alterations, these patients are candidates to have a prophylactic in situ fixation; the same is valid for those patients that present with an acute or acute over chronic SCFE that have an increased risk of 5.4 times more for having a bilateral SCFE.


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