Acta Scientific Orthopaedics (ISSN: 2581-8635)

Review Article Volume 3 Issue 12

Neglected Unstable Slipped Capital Femoral Epiphysis: A Case Report

Sawamura K1, Mishima K2, Matsushita M2, Kamiya Y2 and Kitoh H1*

1Department of Orthopaedic Surgery, Aichi Children’s Health and Medical Center, Aichi, Obu, Japan
2Department of Orthopaedic Surgery, Nagoya University Graduate School of Medicine, Aichi, Nagoya, Japan

*Corresponding Author: Kitoh H, Department of Orthopaedic Surgery, Aichi Children’s Health and Medical Center, Aichi, Obu, Japan.

Received: October 27, 2020; Published: November 30, 2020

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Abstract

  Delay in diagnosis is a serious issue in stable type of slipped capital femoral epiphysis (SCFE), but it is rare in unstable SCFE due to its intense and severe clinical symptoms. We present a girl with an unstable SCFE who had not been diagnosed for one month after the acute onset of the disease. She was treated with percutaneous pinning to fix an unintentionally reduced femoral epiphysis after prolonged skeletal traction in a flexed position of the hip. Although moderate deformity of the proximal femur with an anterolateral metaphyseal bump was remained after physeal fixation, it was successfully remodeled during residual growth. She had spherical femoral head with no evidence of avascular necrosis and showed favorable clinical outcome within acceptable limb length discrepancy at skeletal maturity.

Keywords: Slipped Capital Femoral Epiphysis (SCFE); Avascular Necrosis (AVN)

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Citation

Citation: Kitoh H., et al. “Neglected Unstable Slipped Capital Femoral Epiphysis: A Case Report".Acta Scientific Orthopaedics 3.12 (2020): 87-90.




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