Slipped capital femoral epiphysis Early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis

摘要：

　　On the basis of intraoperative observa-tions 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 dam-age.As a result of an impingement between the metaphy-sis and the superomedial acetabular rim,the labrum re-vealed erosions,scars or tears.Further jamming of the metaphysis into the joint damaged the adjacent acetabu-lar 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 find-ings suggest that arthrosis in SCFE can be triggered by early mechanical damage of the acetabular cartilage.

作者: Michael Leunig Mark M Casillas Marc Hamlet Othmar Hersche Hubert N?tzli Theddy Slongo Reinhold Ganz

作者单位: Departments of Orthopedic Surgery,University of Berne,CH-3010 Berne,Switzer-land Pediatric Surgery,Inselspital,University of Berne,CH-3010 Berne,Switzer-land

会议类型: 国内会议

会议名称: 2018北京髋关节国际高峰论坛

会议地点: 北京

会议语种:英文

页码: 23-28

在线出版日期: 2018-10-25（万方平台首次上网日期，不代表论文的发表时间）