Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Paediatrics
Abstract number: 26273
FEMOROACETABULAR IMPINGEMENT AND OSTEOARTHRITIS IN A
POPULATION WITH SLIPPED CAPITAL FEMORAL EPIPHYSIS -
RETROSPECTIVE STUDY OF A 25 YEARS SERIES
José E. FRAGA FERREIRA, Rui CERQUEIRA, Sofia VIÇOSO, Tiago BARBOSA,
Joăo Paulo OLIVEIRA, Paulo VASCONCELOS
Centro Hospitalar do Alto Ave, Guimarăes, Guimarăes (PORTUGAL)
Proximal femoral epiphysiolysis (PFE) is a rare condition with a unknown
aetiopathogenesis. An early diagnosis and treatment is essential to minimize
premature degeneration of the joint. The authors reviewed the cases treated between
1980 and 2005 in our institution. This study was aimed at evaluating patients with hip
epiphysiolysis surgically treated by canullated screws or pinning and previously
controlled by short-term follow-up, in order to evaluate radiographic medium/ long
term evolution, looking for evidence of degenerative arthritis or femoroacetabular
impingement. We performed a retrospective review of the clinical notes and
radiographs of all patients with slipped upper femoral epiphysis who were surgically
treated at our institution between January 1980 and December 2005. These patients
performed radiographs to detect evidence of osteonecrosis, chondrolysis,
degenerative arthritis or femoroacetabular impingment. To grade the radiological
osteoarthritic changes the grading system of Kellgren and Lawrence was used.
These changes were correlated with the existence of femoroacetabular impingement.
The radiological results were correlated with the degree of chronicity of the slip, the
morphological classification and the existence of complications such as avascular
necrosis.
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