Preferences help
enabled [disable] Abstract
Number of results
2013 | 25 | 101 | 163- 169
Article title


Title variants
Languages of publication
Slipped capital femoral epiphysis in adolescents (SCFE) is a well known disease occurring mostly in the age between 9 and 16. Despite of proper diagnosis and treatment, it may cause permanent deformity of a hip joint and limitation in everyday life.
The goal of this study is to evaluate the influence of underwent SCFE on young adults’ professional and everyday activity.
Patients with SCFE treated surgically by stabilization with Kirchner wires were included in this study. There were inclusion criteria: answer to functional questionnaire and full pre- and post operative radiologic data. In the years 1985-2000 in our hospital 35 patients were operated on for SCFE, 13 of them responded to a questionnaire. There were 6 females and 7 males in the evaluated group, with mean age of 28.4 years. Mean preoperative slip angle in AP view was 10.9°, in axial view 27,5°. Patients underwent surgical stabilization with K-wires bundle in mean age of 13.4. The mean follow up was 14.9 years. Mean follow up slip angle in AP view was 7,6°, in axial view 22,1°.
Among respondents, 6 patients completed high school, 7 – vocational education. All of them were satisfied with the underwent treatment. None of the patients was additionally operated on during the follow up period. Only 3 patients were complaining of hip pain, but none of them used analgetics. Limp occurred in 3 patients. Disease of the hip joint followed by surgery did not have any influence on patients’ present social, professional or sport activity in 11 cases, while 2 patients noted a small influence. In the field of physical activity, 8 patients play sport. The study did not show any correlation between the slip angle in both views and an appearance of any symptoms or functional restriction.
In spite of a limited statistical value of our research, caused by a low rate of return of the questionnaire, the study shows that SCFE treated surgically does not result in early disablility or restrictions of daily activity.
163- 169
Physical description
  • Klinika Ortopedii i Rehabilitacji UJ CM, ul. Balzera 15, 34-500 Zakopane
  • Klinika Ortopedii i Rehabilitacji UJ CM, ul. Balzera 15, 34-500 Zakopane
  • Klinika Ortopedii i Rehabilitacji UJ CM, ul. Balzera 15, 34-500 Zakopane
  • Klinika Ortopedii i Rehabilitacji UJ CM, ul. Balzera 15, 34-500 Zakopane
  • Sonnega, R. J. A.; van der Sluijs J. A.; Wainwright A.M.; Roposh, A.; Hefti, F. Management of slipped capital femoral epiphysis: results of a survey of the members of the European Paediatric Orthopaedic Society. J. Child. Orthop., 2011, 5, 433-438.
  • Peck, D. Slipped capital femoral epiphysis: diagnosis and management. Am. Fam. Physician. 2010, 3, 258-62.
  • Kuzyk, P. R.; Kim, Y.J.; Millis, M. B. Surgical management of healed slipped capital femoral epiphysis. J. Am. Acad. Orthop. Surg. 2011, 11, 667-77.
  • Wirth, T. Slipped upper femoral epiphysis (SUFE). Z Orthop Unfall. 2011, 4, 21-41
  • Lehmann, T. G.; Engesater, I. O.; Laborie, L. B.; Lie, S. A.; Rosendahl, K.; Engesater, L. B. Total hip arthroplasty in young adults, with focus on Perthes’ disease and slipped capital femoral epiphysis. Acta. Orthop. 2012, 2, 159-164.
  • Westhoff, B.; Ruhe, K.; Weimann-Stahlschmidt, K.; Zilkens, C.; Willers, R.; Krauspe, R. The gait function of slipped capital femoral epiphysis in patients after growth arrest and its correlation with the clinical; outcome. International Orthopaedics. 2012, 36, 1031-1038.
  • Carney, B.T.; Weinstein, S.L.; Noble, J. Long-term follow-up of slipped capital femoral epiphysis. J. Bone. Joint. Surg. Am. 1991, 73, 667-74.
  • Lehmann, T. G.; Engesater, I. O.; Laborie, L. B.; Rosendahl, K.; Lie, S. A.; Engesater, L. B. In situ fixation of slipped capital femoral epiphysis with Steinmann pins. Acta. Orthop. 2011 82, 333-338.
  • Loder, R. T.; Starnes, T.; Dikos, G.; Aronsson, D. D. Demographic predictors of severity of stable slipped capital femoral epiphyses. J. Bone. Joint. Surg. Am. 2006, 88, 97-105.
  • DeLullo, J. A.; Thomas, E.; Cooney, T. E.; McConnell, S. J.; Sanders, J. O. Femoral remodeling may influence patient outcomes in slipped capital femoral epiphysis. Clin. Orthop. Relat. Res. 2007, 457, 163-70.
  • Bejek, Z.; Paroczai, R.; Illyes, A.; Kiss, R. M. The influence of walking speed on gait parameters in healthy people and in patients with osteoarthritis. Knee. Surg. Sports. Traumatol. Arthrosc. 2006, 14, 612-22.
  • Lai, P. P.; Leung, A.; Li A. N.; Zhang, M. Three-dimensional gait analysis of obese adults. Clin Biomech (Bristol Avon) 2008;23 Suppl1:S2-6.
  • Kim, S. J.; Bloom, T.; Sabharwal, S. Leg length discrepancy in patients with slipped capital femoral epiphysis. 85 patients followed for mean 6 years. Acta. Orthop. 2013, 84, 271-274.
  • Fraitzl, C. R.; Kafer, W.; Nelitz, M.; Reichel, H. Radiological evidence of femoroacetabular impingement in mild slipped capital femoral epiphysis. J. Bone. Joint. Surg. (Br) 2007, 89-B, 1592-6.
  • Fraitzl, C. R.; Nelitz, M.; Cakir, B.; Kafer, W.; Reichel, H. Transfixation in slipped capital femoral epiphysis: long-term evidence for femoro-acetabular impingement. Z. Orthop. Unfall. 2009, 147, 334-40.
  • Imam, S.; Khanduja, V. Current concepts in the diagnosis and management of femoroacetabular impingement. Intern. Orthop. 2011, 35, 1427-1435.
  • Zilkens, C.; Bittersohl, B.; Jager, M.; Miese, F.; Schultz, J.; Kircher, J.; Westhoff, B.; Krauspe, R. Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis. Intern. Orthop. 2011, 35, 1295-1301.
Document Type
Publication order reference
YADDA identifier
JavaScript is turned off in your web browser. Turn it on to take full advantage of this site, then refresh the page.