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>Revistas >Revista Mexicana de Ortopedia Pediátrica >Año 2007, No. 1


Luna RRA, Harfush NA, Torres GA
Aspectos epidemiológicos de la presentación bilateral de la epifisiolistesis femoral proximal
Rev Mex Ortop Ped 2007; 9 (1)

Idioma: Español
Referencias bibliográficas: 41
Paginas: 5-9
Archivo PDF: 84.49 Kb.


Texto completo




RESUMEN

La epifisiolistesis femoral proximal (EFP) es la alteración de la cadera más común en adolescentes. La frecuencia de presentación bilateral en niños con EFP está reportada de 21 a 81%; de los deslizamientos de la cadera contralateral el 40% son asintomáticos. Determinar la frecuencia de presentación bilateral y los factores de riesgo en niños mexicanos permitiría el entornillamiento in situ de la cadera contralateral, disminuyendo así las complicaciones a largo plazo. En el estudio se incluyeron 87 pacientes con diagnóstico de EFP atendidos en el Hospital Shriners para Niños, Cd. de México. Se documentó edad de inicio, índice de masa corporal, tipo de EFP de acuerdo al tiempo de evolución, estabilidad y grado de desplazamiento. Conclusiones: Los pacientes con alteraciones en las hormonas tiroideas, ya sea hipotiroidismo primario o secundario tienen un riesgo 3.5 veces mayor de presentación bilateral en relación a aquéllos sin alteraciones endocrinológicas, por lo que podrían considerarse candidatos a entornillamiento in situ profiláctico al igual que aquéllos pacientes que en su primera consulta presentan EFP aguda o crónica agudizada, ya que estos pacientes tienen un riesgo 5.4 veces mayor de bilateralidad.


Palabras clave: Epifisiolistesis femoral proximal, bilateralidad, entornillamiento in situ.


REFERENCIAS

  1. Aronsson DD, Karol LA. Stable slipped capital femoral epiphysis: Evaluation and management. J Am Acad Orthop Surg 1996; 4: 173-181.

  2. Early SD, Hedman TP, Reynolds RA. Biomechanical analysis of compression screw fixation versus standard in situ pinning in slipped capital femoral epiphysis. J Pediatr Orthop 2001; 21: 183-188.

  3. Loder RT. Unstable slipped capital femoral epiphysis. J Pediatr Orthop 2001; 21: 694-699.

  4. Reynolds RA. Diagnosis and treatment of slipped capital femoral epiphysis. Curr Opin Orthop 2000; 11: 141-144.

  5. Poussa M, Schlenzka D, Yrjönen T. Body mass index and slipped capital femoral epiphysis. J Pediatr Orthop B 2003; 12: 369-371.

  6. Loder RT, Nechleba J, Sanders JO et al. Idiopathic slipped capital femoral epiphysis in amish children. J Bone Joint Surg Am 2005; 87: 543-549.

  7. Seller K, Raab P, Wild A et al. Risk-benefit analysis of prophylactic pinning in slipped capital femoral epiphysis. J Pediatr Orthop B 2001; 10: 192-196.

  8. Loder RT, Mehbod AA, Meyer C et al. Acetabular depth and race in young adults. A potential explanation of the differences in the prevalence of slipped capital femoral epiphysis between different racial groups? J Pediatr Orthop 2003; 23: 699-702.

  9. James H, Randal B, Loder RT et al. Slipped capital femoral epiphysis. The prevalence of late contralateral slip. J Bone Joint Surg Am 1996; 78: 226-230.

  10. Loder RT, Greenfield LVH. Clinical characteristics of children with atypical and idiopathic slipped capital femoral epiphysis: description of the age-weight test and implications for further diagnostic investigation. J Pediatr Orthop 2001; 21: 481-487.

  11. Liu SC, Tsai C, Huang CH. Atypical slipped capital femoral epiphysis after radiotherapy and chemotherapy. Clin Orthop 2004; 426: 212-218.

  12. Burrow SR, Alman B, Wright JG. Short stature as a screening test for endocrinopathy in slipped capital femoral epiphysis. J Bone Joint Surg 2001; 83: 263-268.

  13. Adamczyk MJ, Weiner DS, Nugent A et al. Increased chondrocyte apoptosis in growth plates from children with slipped capital femoral epiphysis. J Pediatr Orthop 2005; 25: 440-444.

  14. Gordon JE, Abrahams MS, Dobbs MB et al. Early reduction, arthrotomy, and cannulated screw fixation in unstable slipped capital femoral epiphysis treatment. J Pediatr Orthop 2002; 22: 352-358.

  15. Loder RT, Aronson DD, Greenfield ML. The epidemiology of bilateral slipped capital femoral epiphysis. A study of children in Michigan. J Bone Joint Surg Am 1993; 75: 1141-1147.

  16. Futami T, Suzuki S, Seto Y et al. Sequential magnetic resonance imaging in slipped capital femoral epiphysis: Assesment of preslip in the contralateral hip. J Pediatr Orthop B 2001; 10: 298-303.

  17. Barrios C, Blasco MA, Blasco MC et al. Posterior sloping angle of the capital femoral physis. A predictor of bilaterality in slipped capital femoral epiphysis. J Pediatr Orthop 2005; 25: 445-449.

  18. Matava MJ, Patton CM, Luhmann S et al. Knee pain as the initial symptom of slipped capital femoral epiphysis: An analysis of initial presentation and treatment. J Pediatr Orthop 1999; 19: 455-460.

  19. Fallath S, Letts M. Slipped capital femoral epiphysis: an analysis of treatment outcome according to physeal stability. J Can Chir 2004; 47: 284-289.

  20. Mooney JF, Sanders JO, Browne RH. Management of unstable/acute slipped capital femoral epiphysis. Results of a survey of the POSNA membership. J Pediatr Orthop 2005; 25: 162-166.

  21. Loder RT. Effect of femur position on the angular measurement of slipped capital femoral epiphysis. J Pediatr Orthop 2001; 21: 488-494.

  22. Uglow MG, Clarke NM. The management of slipped capital femoral epiphysis. J Bone Joint Surg Br 2004; 86: 631-635.

  23. Guzzanti V, Falciglia F, Stanitski. Slipped capital femoral epiphysis in skeletally immature patients. J Bone Joint Surg Br 2004; 86: 731-736.

  24. Perlick L, Tingart M, Wiech O et al. Computer-assisted cannulated screw fixation for slipped capital femoral epiphysis. J Pediatr Orthop 2005; 25: 167-170.

  25. Morrissy RT. Principles of in situ fixation in chronic slipped capital femoral epiphysis. In American Academy of Orthopaedic Surgeons Instructional Course Lectures.

  26. Sanders JO, Smith WJ, Stanley EA et al. Progressive slippage after pinning for slipped capital femoral epiphysis. J Pediatr Orthop 2002; 22: 239-243.

  27. Carney BT, Birnbaum P, Minter C. Slip progression after in situ single screw fixation for stable slipped capital femoral epiphysis. J Pediatr Orthop 2003; 23: 584-589.

  28. Jartenbender K, Cordier W, Katthagen D. Long-term follow-up study after corrective Imhäuser osteotomy for severe slipped capital femoral epiphysis. J Pediatr Orthop 2000: 749-756.

  29. Diab M, Hresko MT, Millis MB. Intertrochanteric versus subcapital osteotomy in slipped capital femoral epiphysis. Clin Orthop 2004; 427: 204-212.

  30. Mowafi HE, El-Adl G, El.Lakkany MR. Extracapsular base of neck osteotomy versus southwick osteotomy in treatment of moderate to severe chronic slipped capital femoral epiphysis. J Pediatr Orthop 2005; 25: 171.177.

  31. Schultz WR, Weinstein JN, Weinstein SL et al. Prophylactic pinning of the contralateral hip in slipped capital femoral epiphysis. J Bone Joint Surg Am 2002; 84: 1305-1315.

  32. Castro FP, Bennett JT, Doulens K. Epidemiological perspective on prophylactic pinning in patients with unilateral slipped capital femoral epiphysis. J Pediatr Orthop 2000; 20: 745-748.

  33. Kocher MS, Bishop JA, Hresko MT et al. Prophylactic pinning of the contralateral hip after unilateral slipped capital femoral epiphysis. J Bone Joint Surg Am 2004; 86: 2658-2665.

  34. Maeda S, Kita A, Funayama K et al. Vascular supply to slipped capital femoral epiphysis. J Pediatr Orthop 2001; 21: 554-667.

  35. Tokmakova KP, Stanton RP, Mason DE. Factors influencing the development of osteonecrosis in patients treated for slipped capital femoral epiphysis. J Bone Joint Surg Am 2003; 85: 798-801.

  36. Kennedy JG, Hresko MT, Kasser JR et al. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop 2001; 21: 189-193.

  37. Jofe MH, Lechman W, Ehrlich MG. Chondrolysis following slipped capital femoral epiphysis. J Pediatr Orthop B 2004; 13: 29-31.

  38. Rab GT. Pediatric Orthopedic Surgery in Skinner HB: Current. Diagnosis & Treatment in Orthopedics. 3ª ed . McGraw-Hill, 2003, pp. 605.

  39. Letts M. Slipped capital femoral epiphysis in Dee R: Principles of Orthopaedic practice. 2ª ed. Mc Graw-Hill, 1997: 735-746.

  40. Song KM, Halliday S, Reilly C et al. Gait abnormalities following slipped capital femoral epiphysis. J Pediatr Orthop 2004; 24: 148-155.

  41. Oppenheim WL, Bowen RE, McDonough PW et al. Outcome of slipped capital femoral epiphysis in renal osteodystrophy. J Pediatr Orthop 2003; 23: 169-174.



>Revistas >Revista Mexicana de Ortopedia Pediátrica >Año2007, No. 1
 

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