UNLABELLED Femoroacetabular impingement causing pain and deformity often follows in situ pinning for severe, stable (Grade III) slipped capital femoral epiphysis. We asked whether a transverse percutaneous subtrochanteric osteotomy using external fixation could decrease pain, restore function and motion, and improve radiographic outcome. We performed a transverse subtrochanteric osteotomy with ...

The pathogenesis of slipped upper femoral epiphysis is unknown but the condition has been linked with various endocrine disorders. Nine patients with slipped epiphyses in association with primary juvenile hypothyroidism are presented. In all patients, slipping occurred or symptoms developed in the affected hip before the hypothyroidism was diagnosed. A generalised pathology was suggested by the...

We report seven children in whom traumatic haemarthrosis of the hip had produced lateral subluxation of the femoral head, which is different from the apparent displacement seen in Perthes' disease. In all seven cases, aspiration of the haemarthrosis allowed reduction of the femoral head, and follow-up for a mean of 14 months revealed no evidence of avascular necrosis of the proximal femoral epi...

The article is based on the importance of applying means and methods specific to physical therapy in improvement Perthes disease. condition known as Perthes, Legg-Perthes, or Legg-Calve-Perthes disease an avascular osteonecrosis epiphysis femoral head. It assumed that through a kinetotherapeutic program appropriate patient's particularities, mobility coxofemoral joint will remain within normal ...

We studied the natural history of Perthes' disease in 62 children in whom the onset of symptoms was in adolescence. Three patterns of disease were noted, namely, late-onset pattern, segmental collapse, or destructive with failure of revascularisation. In the late-onset pattern, the disease followed the sequence of healing seen in younger children, but adequate epiphyseal remodelling did not occ...

BACKGROUND The appropriate treatment in mild slipped capital femoral epiphysis (SCFE) should not only prevent further slipping of the epiphysis but also address potential femoroacetabular impingement by restoring the anatomy of the proximal femur. The aim of this study was to quantify length of the remodeling phase mediated by growth of the femoral neck, after treatment of SCFE with a screw des...

BACKGROUND Fractures of the distal femoral epiphysis and metaphysis are complex musculoskeletal injuries posing a significant clinical problem. The incidence of compound femoral fractures has been growing owing to the rapid development of the motor industry. The fractures are most commonly the result of high-energy traumas during road accidents or falls from a height. MATERIAL AND METHODS A t...

Rat pituitary, hypothalamic and cerebral cortical minces are demonstrated to effect the conversion of testosterone (T) to 5~-androstan-17~-ol-3-one (DHT) and A 4androstene-3,17-dione (A4A). The pituitary effected the greatest conversion of T to both DHT and A4A. The hypothalamus converted more T to DHT than did the cerebral cortex; but the conversion of T to ~4A in these two tissues occured to ...

Slipped capital femoral epiphysis (SCFE) is considered to be one of the most common disorders of the hip in children and adolescents. If left untreated, it may lead to progressive deformity, pain and decreased range of motion, and predisposes to early onset degenerative arthritis. Surgical treatment is advised, with in situ pinning across the physis being the gold standard for stable slips. Clo...