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Il Giornale Italiano di Radiologia Medica 2018 Marzo-Aprile;5(2):212-21

DOI: 10.23736/S2283-8376.18.00027-X


language: Italian

Radiographic follow-up of surgically-treated acute, subacute, and chronic slipped capital femoral epiphysis

Francesca CATUCCI 1 , Cristiana CORRADINI 1, Vittoria GALEAZZI 2, Costanza URBINATI 2, Claudia SGOLACCHIA 3, Serena ULISSE 2, Andrea GIOVAGNONI 2

1 Scuola di Specializzazione in Radiodiagnostica, Università Politecnica delle Marche, Ancona, Italia; 2 Struttura Operativa Dipartimentale Radiologia Pediatrica e Specialistica, Dipartimento di Scienze Radiologiche, Azienda Ospedaliera Universitaria Ospedali Riuniti di Ancona, Ancona, Italia; 3 Scuola di Specializzazione in Ortopedia e Traumatologia, Università Politecnica delle Marche, Ancona, Italia


BACKGROUND: The aim of this study is to evaluate the clinical and radiographic aspects of the young people, affected by acute, subacute and chronic slipped capital femoral epiphysis (SCFE) and to examine the long-term outcome, after in-situ pinning with metal wires.
METHODS: In this retrospective study, 24 patients (19 males and 5 females) with age between 11 and 22 years, affected by SCFE, treated in the last 10 years by in-situ fixation after reductive maneuver in the surgery room, were re-evaluated by clinical and bi-projective radiographic examination. A partial load period was observed for the following 6 months and functional discharge until the removal of the synthesis media.
RESULTS: All patients developed residual deformities, although of variable entity, with radiographic signs of femoroacetabular impingement. The 90% of patients showed initial radiographic signs of coxarthrosis. In long-term follow-up, a satisfactory clinical picture emerged with minimal functional limitations, which do not affect normal daily activities.
CONCLUSIONS: In patients treated surgically for SCFE, radiographic examination is essential and sufficient in the medium to long-term follow-up, highlighting a femoral-acetabular impingement, even in patients with a normal clinical and functional picture.

KEY WORDS: Slipped capital femoral epiphyses - Intramedullary fracture fixation - Femoroacetabular impingement

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