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Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis

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Abstract

The purpose of this study was to assess the clinical and radiographic presentation of young adults in the mid-term follow-up after pinning in situ for mild to moderate slipped capital femoral epiphysis (SCFE). We postulated that there was a correlation between the degree of head-neck-offset decrease and clinical and radiographic signs of hip joint degeneration. Thirty-eight young adults (average age 23.4 ± 3.6 years old) with various grades of femoral head-neck-offset pathologies were assessed clinically via Harris hip score (HHS), Tegner-Lysholm score (TLS) and Short Form 36 (SF-36), and radiographic signs of OA were measured on plain X-ray films after a follow-up of 11.1 ± 3.8 years. We conclude that clinical and radiographic signs of joint degeneration appear early in the follow-up after SCFE, but there is no linear correlation between offset-pathology and joint degeneration.

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Acknowledgments

This study was supported by a research grant of the “German Osteoarthritis Aid” (“Deutsche Arthrose-Hilfe e.V.”). We thank Mrs. Kamps for technical support.

Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University Hospital of Duesseldorf, Duesseldorf, Germany

    Christoph Zilkens, Bernd Bittersohl, Marcus Jäger, Johannes Schultz, Jörn Kircher, Bettina Westhoff & Rüdiger Krauspe

  2. Department of Radiology, University Hospital of Duesseldorf, Duesseldorf, Germany

    Falk Miese

Authors
  1. Christoph Zilkens
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  2. Bernd Bittersohl
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  3. Marcus Jäger
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  4. Falk Miese
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  5. Johannes Schultz
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  6. Jörn Kircher
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  7. Bettina Westhoff
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  8. Rüdiger Krauspe
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Corresponding author

Correspondence to Christoph Zilkens.

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Zilkens, C., Bittersohl, B., Jäger, M. et al. Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis. International Orthopaedics (SICOT) 35, 1295–1301 (2011). https://doi.org/10.1007/s00264-010-1106-5

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  • DOI: https://doi.org/10.1007/s00264-010-1106-5

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