Abstract
Hip pain in adults is commonly the result of residual deformity from pediatric hip disease, including developmental hip dysplasia, slipped capital femoral epiphysis (SCFE), and Legg–Calve–Perthes (LCP) disease. This chapter will review the epidemiology, proximal femoral and acetabular deformity, and the natural history of each of these common disorders.
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References
Wiberg G. Studies on dysplastic acetabula and congenital subluxation of the hip joint. With special reference to the complication of osteoarthritis. Acta Chir Scand Suppl. 1939;58:7–38.
Harris WH. Etiology of osteoarthritis of the hip. Clin Orthop Relat Res. 1986;213:20–33.
Clohisy JC. Radiographic structural abnormalities associated with premature, natural hip-joint failure. J Bone Joint Surg Am. 2011;93 Suppl 2:3. doi:10.2106/JBJS.J.01734.
Jacobsen S, Sonne-Holm S. Hip dysplasia: a significant risk factor for the development of hip osteoarthritis. A cross-sectional survey. Rheumatology. 2005;44(2):211–8. doi:10.1093/rheumtology/keh436.
Engesæter IØ, Laborie LB, Lehmann TG, et al. Prevalence of radiographic findings associated with hip dysplasia in a population-based cohort of 2081 19-year-old Norwegians. Bone Joint J. 2013;95-B(2):279–85. doi:10.1302/0301-620X.95B2.30744.
Nunley RM. Clinical presentation of symptomatic acetabular dysplasia in skeletally mature patients. J Bone Joint Surg Am. 2011;93 Suppl 2:17. doi:10.2106/JBJS.J.01735.
Fujii M. Acetabular retroversion in developmental dysplasia of the hip. J Bone Joint Surg Am. 2010;92(4):895. doi:10.2106/JBJS.I.00046.
Kiyama T, Naito M, Shiramizu K, Shinoda T. Postoperative acetabular retroversion causes posterior osteoarthritis of the hip. Int Orthop. 2007;33(3):625–31. doi:10.1007/s00264-007-0507-6.
Clohisy JC, Nunley RM, Carlisle JC, Schoenecker PL. Incidence and characteristics of femoral deformities in the dysplastic hip. Clin Orthop Relat Res. 2008;467(1):128–34. doi:10.1007/s11999-008-0481-3.
Noble PC, Kamaric E, Sugano N, et al. Three-dimensional shape of the dysplastic femur: implications for THR. Clin Orthop Relat Res. 2003;417:27–40.
Cooperman DR, Wallensten R, Stulberg SD. Acetabular dysplasia in the adult. Clin Orthop Relat Res. 1983;175:79–85.
Kim Y-J, Jaramillo D, Millis MB, Gray ML, Burstein D. Assessment of early osteoarthritis in hip dysplasia with delayed gadolinium-enhanced magnetic resonance imaging of cartilage. J Bone Joint Surg Am. 2003;85-A(10):1987–92.
Jessel RH, Zurakowski D, Zilkens C, Burstein D, Gray ML, Kim YJ. Radiographic and patient factors associated with pre-radiographic osteoarthritis in hip dysplasia. J Bone Joint Surg Am. 2009;91(5):1120–9. doi:10.2106/JBJS.G.00144.
Klaue K, Durnin CW, Ganz R. The acetabular rim syndrome. A clinical presentation of dysplasia of the hip. J Bone Joint Surg Br. 1991;73(3):423–9.
Ross JR, Zaltz I, Nepple JJ, Schoenecker PL, Clohisy JC. Arthroscopic disease classification and interventions as an adjunct in the treatment of acetabular dysplasia. Am J Sports Med. 2011;39 Suppl 1:72S–8. doi:10.1177/0363546511412320.
Loder RT, Richards BS, Shapiro PS, Reznick LR, Aronson DD. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75(8):1134–40.
Ziebarth K, Leunig M, Slongo T, Kim Y-J, Ganz R. Slipped capital femoral epiphysis: relevant pathophysiological findings with open surgery. Clin Orthop Relat Res. 2013;471:2156–62. doi:10.1007/s11999-013-2818-9.
Slongo T. Treatment of slipped capital femoral epiphysis with a modified Dunn procedure. J Bone Joint Surg Am. 2010;92(18):2898. doi:10.2106/JBJS.I.01385.
Ganz R, Huff TW, Leunig M. Extended retinacular soft-tissue flap for intra-articular hip surgery: surgical technique, indications, and results of application. Instr Course Lect. 2009;58:241–55.
Lehmann CL, Arons RR, Loder RT, Vitale MG. The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop. 2006;26(3):286–90. doi:10.1097/01.bpo.0000217718.10728.70.
Loder RT, Farley FA, Herzenberg JE, Hensinger RN, Kuhn JL. Narrow window of bone age in children with slipped capital femoral epiphyses. J Pediatr Orthop. 1993;13(3):290–3.
Pritchett JW, Perdue KD. Mechanical factors in slipped capital femoral epiphysis. J Pediatr Orthop. 1988;8(4):385–8.
Gelberman RH, Cohen MS, Shaw BA, Kasser JR, Griffin PP, Wilkinson RH. The association of femoral retroversion with slipped capital femoral epiphysis. J Bone Joint Surg Am. 1986;68(7):1000–7.
Rab GT. The geometry of slipped capital femoral epiphysis: implications for movement, impingement, and corrective osteotomy. J Pediatr Orthop. 1999;19(4):419–24.
Mamisch TC, Kim Y-J, Richolt JA, Millis MB, Kordelle J. Femoral morphology due to impingement influences the range of motion in slipped capital femoral epiphysis. Clin Orthop Relat Res. 2008;467(3):692–8. doi:10.1007/s11999-008-0477-z.
Key JA. Epiphyseal coxa vara or displacement of the capital epiphysis of the femur in adolescence. J Bone Joint Surg Am. 2013;8:53–117. doi:10.1007/s11999-013-2907-9.
O’Brien ET, Fahey JJ. Remodeling of the femoral neck after in situ pinning for slipped capital femoral epiphysis. J Bone Joint Surg Am. 1977;59(1):62–8.
Jones JR, Paterson DC, Hillier TM, Foster BK. Remodelling after pinning for slipped capital femoral epiphysis. J Bone Joint Surg Br. 1990;72(4):568–73.
Siegel DB, Kasser JR, Sponseller P, Gelberman RH. Slipped capital femoral epiphysis. A quantitative analysis of motion, gait, and femoral remodeling after in situ fixation. J Bone Joint Surg Am. 1991;73(5):659–66.
DeLullo JA, Thomas E, Cooney TE, McConnell SJ, Sanders JO. Femoral remodeling may influence patient outcomes in slipped capital femoral epiphysis. Clin Orthop Relat Res. 2007;457:163–70. doi:10.1097/BLO.0b013e31802d8aaa.
Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR. Subclinical slipped capital femoral epiphysis. Relationship to osteoarthrosis of the hip. J Bone Joint Surg Am. 1997;79(10):1489–1497.
Siebenrock KA, Wahab KHA, Werlen S, Kalhor M, Leunig M, Ganz R. Abnormal extension of the femoral head epiphysis as a cause of cam impingement. Clin Orthop Relat Res. 2004;418:54–60.
Monazzam S, Krishnamoorthy V, Bittersohl B, Bomar JD, Hosalkar HS. Is the acetabulum retroverted in slipped capital femoral epiphysis? Clin Orthop Relat Res. 2013;471:2145–50. doi:10.1007/s11999-012-2697-5.
Sankar WN, Brighton BK, Kim Y-J, Millis MB. Acetabular morphology in slipped capital femoral epiphysis. J Pediatr Orthop. 2011;31(3):254–8. doi:10.1097/BPO.0b013e31820fcc81.
Carney BT, Weinstein SL, Noble J. Long-term follow-up of slipped capital femoral epiphysis. J Bone Joint Surg Am. 1991;73(5):667–74.
Fraitzl CR, Käfer W, Nelitz M, Reichel H. Radiological evidence of femoroacetabular impingement in mild slipped capital femoral epiphysis: a mean follow-up of 14.4 years after pinning in situ. J Bone Joint Surg Br. 2007;89(12):1592–6.
Wensaas A, Gunderson RB, Svenningsen S, Terjesen T. Femoroacetabular impingement after slipped upper femoral epiphysis: the radiological diagnosis and clinical outcome at long-term follow-up. J Bone Joint Surg Br. 2012;94(11):1487–93. doi:10.1302/0301-620X.94B11.29569.
Leunig M, Horowitz K, Ganz R. Femoroacetabular impingement after slipped capital femoral epiphysis: does slip severity predict clinical symptoms? Dodds et Al. J Pediatr Orthop. 2009 September; 29(6). J Pediatr Orthop. 2011;31(1):6.
Sink EL, Zaltz I, Heare T, Dayton M. Acetabular cartilage and labral damage observed during surgical hip dislocation for stable slipped capital femoral epiphysis. J Pediatr Orthop. 2010;30(1):26–30. doi:10.1097/BPO.0b013e3181c6b37a.
Leunig M, Horowitz K, Manner H, Ganz R. In situ pinning with arthroscopic osteoplasty for mild SCFE: a preliminary technical report. Clin Orthop Relat Res. 2010;468(12):3160–7. doi:10.1007/s11999-010-1408-3.
Lee CB, Matheney T, Yen Y-M. Case reports: acetabular damage after mild slipped capital femoral epiphysis. Clin Orthop Relat Res. 2013;471:2163–72. doi:10.1007/s11999-012-2715-7.
Ippolito E, Tudisco C, Farsetti P. The long-term prognosis of unilateral Perthes’ disease. J Bone Joint Surg Br. 1987;69(2):243–50.
Mose K. Methods of measuring in Legg-Calvé-Perthes disease with special regard to the prognosis. Clin Orthop Relat Res. 1980;150:103–9.
Stulberg SD, Cooperman DR, Wallensten R. The natural history of Legg-Calvé-Perthes disease. J Bone Joint Surg Am. 1981;63(7):1095–108.
Tannast M, Hanke M, Ecker TM, Murphy SB, Albers CE, Puls M. LCPD: reduced range of motion resulting from extra- and intraarticular impingement. Clin Orthop Relat Res. 2012;470(9):2431–40. doi:10.1007/s11999-012-2344-1.
Joseph B. Morphological changes in the acetabulum in Perthes’ disease. J Bone Joint Surg Br. 1989;71(5):756–63.
Clohisy JC, Ross JR, North JD, Nepple JJ, Schoenecker PL. What are the factors associated with acetabular correction in Perthes-like hip deformities? Clin Orthop Relat Res. 2012;470(12):3439–45. doi:10.1007/s11999-012-2507-0.
Kim HK, Herring JA. Prognostic factors and outcome measures in Perthes disease. Orthop Clin North Am. 2011;42(3):303–15. doi:10.1016/j.ocl.2011.03.004.
McAndrew MP, Weinstein SL. A long-term follow-up of Legg-Calvé-Perthes disease. J Bone Joint Surg Am. 1984;66(6):860–9.
Mose K, Hjorth L, Ulfeldt M, Christensen ER, Jensen A. Legg Calvé Perthes disease. The late occurrence of coxarthrosis. Acta Orthop Scand Suppl. 1977;169:1–39.
Lecuire F. The long-term outcome of primary osteochondritis of the hip (Legg-Calvé-Perthes’ disease). J Bone Joint Surg Br. 2002;84(5):636–40.
Ross JR, Nepple JJ, Baca G, Schoenecker PL, Clohisy JC. Intraarticular abnormalities in residual Perthes and Perthes-like hip deformities. Clin Orthop Relat Res. 2012;470(11):2968–77. doi:10.1007/s11999-012-2375-7.
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Nepple, J.J., Kim, YJ. (2014). Developmental Hip Disorders. In: Kim, YJ., Mamisch, T. (eds) Hip Magnetic Resonance Imaging. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-1668-5_8
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