Erschienen in:
04.05.2016 | CORR Insights
CORR Insights®: Is Assessment of Femoral Head Perfusion During Modified Dunn for Unstable Slipped Capital Femoral Epiphysis an Accurate Indicator of Osteonecrosis?
verfasst von:
Douglas G. Armstrong, MD
Erschienen in:
Clinical Orthopaedics and Related Research®
|
Ausgabe 8/2016
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Excerpt
Few conditions are guaranteed to generate controversy amongst pediatric orthopaedic surgeons as much as unstable slipped capital femoral epiphysis (SCFE). Loder [
3] coined the term “unstable SCFE” in 1993, and defined it in clinical terms as a patient with a SCFE who is unable to weight bear, even with crutches. However, even that simple definition is not entirely agreed upon [
3,
7,
8]. No published studies, individually or in systematic review, have been sufficiently powered to answer basic questions regarding unstable SCFE [
8]. Among the questions: What should be the diagnostic criteria? What is the optimal timing for treatment? Which treatment is best? …