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Slipped capital femoral epiphysis: Early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis
Open accessAbstract
On the basis of intraoperative observations in 13 consecutive adolescents (14 hips) with slipped capital femoral epiphysis (SCFE), we found that when the anterior femoral metaphysis was level with or extended past the epiphysis, it caused labrum and cartilage damage. As a result of an impingement between the metaphysis and the superomedial acetabular rim, the labrum revealed erosions, scars or tears. Further jamming of the metaphysis into the joint damaged the adjacent acetabular cartilage, varying from a partial- to a full-thickness cartilage loss. In all patients, the femoral head cartilage was intact; no avascular necrosis was present. Our findings suggest that arthrosis in SCFE can be triggered by early mechanical damage of the acetabular cartilage.
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Citations
Cited by
The Etiology of Osteoarthritis of the Hip: An Integrated Mechanical Concept
Ganz, R., Leunig, M., Leunig-Ganz, K., & Harris, W. H. (2008) · Clinical Orthopaedics & Related Research · doi:10.1007/s11999-007-0060-z · Cited by 1,620
Self-citationFemoroacetabular Impingement: Radiographic Diagnosis—What the Radiologist Should Know
Tannast, M., Siebenrock, K. A., & Anderson, S. E. (2007) · American Journal of Roentgenology · doi:10.2214/ajr.06.0921 · Cited by 1,020
Anterior Femoroacetabular Impingement: Part II. Midterm Results of Surgical Treatment
Beck, M., Leunig, M., Parvizi, J., Boutier, V., Wyss, D., & Ganz, R. (2004) · Clinical Orthopaedics and Related Research · doi:10.1097/00003086-200401000-00012 · Cited by 849
Self-citationPrevalence of Cam-Type Femoroacetabular Impingement Morphology in Asymptomatic Volunteers
Hack, K., Di Primio, G., Rakhra, K., & Beaulé, P. E. (2010) · The Journal of Bone and Joint Surgery-American Volume · doi:10.2106/jbjs.j.01280 · Cited by 512
Philippon, M., Schenker, M., Briggs, K., & Kuppersmith, D. (2007) · Knee Surgery, Sports Traumatology, Arthroscopy · doi:10.1007/s00167-007-0332-x · Cited by 489
Metadata
- Authors
- Leunig, M., Casillas, M. M., Hamlet, M., Hersche, O., Nötzli, H., Slongo, T., & Ganz, R.
- Venue
- Acta Orthopaedica Scandinavica
- Published
- 2000-01
- Volume
- 71
- Issue
- 4
- Pages
- 370-375
- ISSN
- 0001-6470 (ISSN-L)
- OpenAlex
- W2052042644
- Cited by
- 539
- References
- 0
- FWCI
- 7.17
- Type
- journal article
- Language
- en
- Open access
- gold
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- The paper
- Leunig, M., Casillas, M. M., Hamlet, M., Hersche, O., Nötzli, H., Slongo, T., & Ganz, R. (2000). Slipped capital femoral epiphysis: Early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthopaedica Scandinavica. https://doi.org/10.1080/000164700317393367
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
