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Arthroscopic osteochondroplasty in patients with mild slipped capital femoral epiphysis after in situ fixation
Abstract Purpose Mild slipped capital femoral epiphyses (SCFE) nevertheless show significant femoral head–neck deformities which may put cartilage and acetabular labrum at risk. Whether this deformity can be restored to normal has not yet been described in the literature. Methods In a prospective fo...
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| Published in: | Journal of children's orthopaedics 2016-02, Vol.10 (1), p.25-30 |
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| container_title | Journal of children's orthopaedics |
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| creator | Tscholl, Philippe M. Zingg, Patrick O. Dora, Claudio Frey, Eric Dierauer, Stefan Ramseier, Leonhard E. |
| description | Abstract
Purpose
Mild slipped capital femoral epiphyses (SCFE) nevertheless show significant femoral head–neck deformities which may put cartilage and acetabular labrum at risk. Whether this deformity can be restored to normal has not yet been described in the literature.
Methods
In a prospective follow-up study, 14 patients with mild SCFE underwent in situ fixation with a single 6.5-mm cancellous, partially threaded screw. In 14 patients arthroscopic osteochondroplasty was performed, and in 13 patients pre- and postoperative measurements of the α-angle were made using antero-superior radial magnetic resonance imaging.
Results
After arthroscopic osteochondroplasty, the mean α-angle decreased from 57° (range 50°–74°) to 37° (range 32°–47°; p < 0.001). Six patients showed beginning degenerative intra-articular changes (four antero-superior cartilage and three antero-superior labrum lesions) at the time of hip arthroscopy. No intra-operative complications occurred. In one patient, arthroscopic debridement was necessary due to arthrofibrosis and persistent pain.
Conclusion
Arthroscopic osteochondroplasty can successfully correct the antero-superior α-angle in patients with mild SCFE to normal values. Clinical randomized controlled studies with long-term follow-up are required to find evidence of improved functional and radiographic mid- and long-term outcome compared to in situ fixation alone. |
| doi_str_mv | 10.1007/s11832-015-0707-3 |
| format | article |
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Purpose
Mild slipped capital femoral epiphyses (SCFE) nevertheless show significant femoral head–neck deformities which may put cartilage and acetabular labrum at risk. Whether this deformity can be restored to normal has not yet been described in the literature.
Methods
In a prospective follow-up study, 14 patients with mild SCFE underwent in situ fixation with a single 6.5-mm cancellous, partially threaded screw. In 14 patients arthroscopic osteochondroplasty was performed, and in 13 patients pre- and postoperative measurements of the α-angle were made using antero-superior radial magnetic resonance imaging.
Results
After arthroscopic osteochondroplasty, the mean α-angle decreased from 57° (range 50°–74°) to 37° (range 32°–47°; p < 0.001). Six patients showed beginning degenerative intra-articular changes (four antero-superior cartilage and three antero-superior labrum lesions) at the time of hip arthroscopy. No intra-operative complications occurred. In one patient, arthroscopic debridement was necessary due to arthrofibrosis and persistent pain.
Conclusion
Arthroscopic osteochondroplasty can successfully correct the antero-superior α-angle in patients with mild SCFE to normal values. Clinical randomized controlled studies with long-term follow-up are required to find evidence of improved functional and radiographic mid- and long-term outcome compared to in situ fixation alone.</description><identifier>ISSN: 1863-2521</identifier><identifier>EISSN: 1863-2548</identifier><identifier>DOI: 10.1007/s11832-015-0707-3</identifier><identifier>PMID: 26586587</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Arthritis ; Cartilage ; Debridement ; Ethics ; Magnetic resonance imaging ; Medicine ; Medicine & Public Health ; Morphology ; Original Clinical ; Original Clinical Article ; Orthopedics ; Osteoarthritis ; Patients ; Pediatrics ; Surgeons ; Traumatic Surgery</subject><ispartof>Journal of children's orthopaedics, 2016-02, Vol.10 (1), p.25-30</ispartof><rights>2016 European Pediatric Orthopaedic Society (EPOS), unless otherwise noted. Manuscript content on this site is licensed under Creative Commons Licenses.</rights><rights>The Author(s) 2015</rights><rights>2016. This work is published under https://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c509t-8c42190e5ea8bee2321e794ab9c716387e10527a7567f2ca76813171127f65ce3</citedby><cites>FETCH-LOGICAL-c509t-8c42190e5ea8bee2321e794ab9c716387e10527a7567f2ca76813171127f65ce3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2584454157/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2584454157?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,21966,25753,27853,27924,27925,37012,37013,44590,44945,45333,53791,53793,75126</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26586587$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tscholl, Philippe M.</creatorcontrib><creatorcontrib>Zingg, Patrick O.</creatorcontrib><creatorcontrib>Dora, Claudio</creatorcontrib><creatorcontrib>Frey, Eric</creatorcontrib><creatorcontrib>Dierauer, Stefan</creatorcontrib><creatorcontrib>Ramseier, Leonhard E.</creatorcontrib><title>Arthroscopic osteochondroplasty in patients with mild slipped capital femoral epiphysis after in situ fixation</title><title>Journal of children's orthopaedics</title><addtitle>J Child Orthop</addtitle><addtitle>J Child Orthop</addtitle><description>Abstract
Purpose
Mild slipped capital femoral epiphyses (SCFE) nevertheless show significant femoral head–neck deformities which may put cartilage and acetabular labrum at risk. Whether this deformity can be restored to normal has not yet been described in the literature.
Methods
In a prospective follow-up study, 14 patients with mild SCFE underwent in situ fixation with a single 6.5-mm cancellous, partially threaded screw. In 14 patients arthroscopic osteochondroplasty was performed, and in 13 patients pre- and postoperative measurements of the α-angle were made using antero-superior radial magnetic resonance imaging.
Results
After arthroscopic osteochondroplasty, the mean α-angle decreased from 57° (range 50°–74°) to 37° (range 32°–47°; p < 0.001). Six patients showed beginning degenerative intra-articular changes (four antero-superior cartilage and three antero-superior labrum lesions) at the time of hip arthroscopy. No intra-operative complications occurred. In one patient, arthroscopic debridement was necessary due to arthrofibrosis and persistent pain.
Conclusion
Arthroscopic osteochondroplasty can successfully correct the antero-superior α-angle in patients with mild SCFE to normal values. Clinical randomized controlled studies with long-term follow-up are required to find evidence of improved functional and radiographic mid- and long-term outcome compared to in situ fixation alone.</description><subject>Arthritis</subject><subject>Cartilage</subject><subject>Debridement</subject><subject>Ethics</subject><subject>Magnetic resonance imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Morphology</subject><subject>Original Clinical</subject><subject>Original Clinical Article</subject><subject>Orthopedics</subject><subject>Osteoarthritis</subject><subject>Patients</subject><subject>Pediatrics</subject><subject>Surgeons</subject><subject>Traumatic Surgery</subject><issn>1863-2521</issn><issn>1863-2548</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>PIMPY</sourceid><recordid>eNqNUU1r3DAQNaWh-Wh_QC9F0EsvTjWy9eFLIYQ2LQR6Sc5Cqx2vFWxLleSm---rZTfbj0MpCEYw7715M6-qXgO9BErl-wSgGlZT4DWVVNbNs-oMlGhqxlv1_PhncFqdp_RAqaBdp15Up0xwVZ48q-armIfok_XBWeJTRm8HP6-jD6NJeUvcTILJDuecyKPLA5ncuCZpdCHgmlgTXDYj6XHysVQMLgzb5BIxfca4YyeXF9K7H0XEzy-rk96MCV8d6kV1_-nj3fXn-vbrzZfrq9vactrlWtmWQUeRo1ErRNYwQNm1ZtVZCaJREoFyJo3kQvbMGikUNCABmOwFt9hcVB_2umFZTbi2xX6xp0N0k4lb7Y3Tf3ZmN-iN_65bKRrgtAi8OwhE_23BlPXkksVxNDP6JWnYjRQd7aBA3_4FffBLnMt6mnHVtrwFLgsK9ihbrp0i9kczQPUuTb1PU5c09S5N3RTOm9-3ODKe4isAtgek0po3GH-N_pfq5YFkNvg_hJ-vLbqi</recordid><startdate>20160201</startdate><enddate>20160201</enddate><creator>Tscholl, Philippe M.</creator><creator>Zingg, Patrick O.</creator><creator>Dora, Claudio</creator><creator>Frey, Eric</creator><creator>Dierauer, Stefan</creator><creator>Ramseier, Leonhard E.</creator><general>SAGE Publications</general><general>Springer Berlin Heidelberg</general><general>Sage Publications Ltd</general><scope>AFRWT</scope><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160201</creationdate><title>Arthroscopic osteochondroplasty in patients with mild slipped capital femoral epiphysis after in situ fixation</title><author>Tscholl, Philippe M. ; Zingg, Patrick O. ; Dora, Claudio ; Frey, Eric ; Dierauer, Stefan ; Ramseier, Leonhard E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c509t-8c42190e5ea8bee2321e794ab9c716387e10527a7567f2ca76813171127f65ce3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Arthritis</topic><topic>Cartilage</topic><topic>Debridement</topic><topic>Ethics</topic><topic>Magnetic resonance imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Morphology</topic><topic>Original Clinical</topic><topic>Original Clinical Article</topic><topic>Orthopedics</topic><topic>Osteoarthritis</topic><topic>Patients</topic><topic>Pediatrics</topic><topic>Surgeons</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tscholl, Philippe M.</creatorcontrib><creatorcontrib>Zingg, Patrick O.</creatorcontrib><creatorcontrib>Dora, Claudio</creatorcontrib><creatorcontrib>Frey, Eric</creatorcontrib><creatorcontrib>Dierauer, Stefan</creatorcontrib><creatorcontrib>Ramseier, Leonhard E.</creatorcontrib><collection>Sage Journals GOLD Open Access 2024</collection><collection>SpringerOpen</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Nursing and Allied Health Journals</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Publicly Available Content (ProQuest)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of children's orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tscholl, Philippe M.</au><au>Zingg, Patrick O.</au><au>Dora, Claudio</au><au>Frey, Eric</au><au>Dierauer, Stefan</au><au>Ramseier, Leonhard E.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Arthroscopic osteochondroplasty in patients with mild slipped capital femoral epiphysis after in situ fixation</atitle><jtitle>Journal of children's orthopaedics</jtitle><stitle>J Child Orthop</stitle><addtitle>J Child Orthop</addtitle><date>2016-02-01</date><risdate>2016</risdate><volume>10</volume><issue>1</issue><spage>25</spage><epage>30</epage><pages>25-30</pages><issn>1863-2521</issn><eissn>1863-2548</eissn><abstract>Abstract
Purpose
Mild slipped capital femoral epiphyses (SCFE) nevertheless show significant femoral head–neck deformities which may put cartilage and acetabular labrum at risk. Whether this deformity can be restored to normal has not yet been described in the literature.
Methods
In a prospective follow-up study, 14 patients with mild SCFE underwent in situ fixation with a single 6.5-mm cancellous, partially threaded screw. In 14 patients arthroscopic osteochondroplasty was performed, and in 13 patients pre- and postoperative measurements of the α-angle were made using antero-superior radial magnetic resonance imaging.
Results
After arthroscopic osteochondroplasty, the mean α-angle decreased from 57° (range 50°–74°) to 37° (range 32°–47°; p < 0.001). Six patients showed beginning degenerative intra-articular changes (four antero-superior cartilage and three antero-superior labrum lesions) at the time of hip arthroscopy. No intra-operative complications occurred. In one patient, arthroscopic debridement was necessary due to arthrofibrosis and persistent pain.
Conclusion
Arthroscopic osteochondroplasty can successfully correct the antero-superior α-angle in patients with mild SCFE to normal values. Clinical randomized controlled studies with long-term follow-up are required to find evidence of improved functional and radiographic mid- and long-term outcome compared to in situ fixation alone.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>26586587</pmid><doi>10.1007/s11832-015-0707-3</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1863-2521 1863-2548 |
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| source | PubMed Central (Open Access); Springer Nature - SpringerLink Journals - Fully Open Access ; Sage Journals GOLD Open Access 2024; Publicly Available Content (ProQuest) |
| subjects | Arthritis Cartilage Debridement Ethics Magnetic resonance imaging Medicine Medicine & Public Health Morphology Original Clinical Original Clinical Article Orthopedics Osteoarthritis Patients Pediatrics Surgeons Traumatic Surgery |
| title | Arthroscopic osteochondroplasty in patients with mild slipped capital femoral epiphysis after in situ fixation |
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