Advertisement

Pediatric Radiology

, Volume 14, Issue 6, pp 413–418 | Cite as

Slip of the capital femoral epiphysis: Revival of a method of assessment

  • L. Billing
  • O. Eklöf
Originals

Abstract

A simple and exact method for evaluation of suspected or overt slip of the femoral capital epiphysis is revived. This procedure gives an estimate of all degrees of abnormality from the early stages to those with gross deformity. In our experience slip of the femoral capital epiphysis is always posterior and in approximately 80% of cases bilateral. Therefore, both hips should be examined whenever this condition is suspected. The method provides for examination of each hip separately. Strict adherence to the procedure also provides a precise way of assessing the femoral anteversion angle, significant in many orthopedic disorders. For the latter purpose access to a particular nomogram is mandatory.

Keywords

Public Health Exact Method Strict Adherence Femoral Anteversion Anteversion Angle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Pöschl M (1971) Hüftgelenk und proximaler Femurabschnitt. I. Oberschenkelkopf und Hüftgelenkpfanne. In: Diethelm L (ed) Röntgendiagnostik der Skeletterkrankungen. Springer, Berlin Heidelberg New York (Handbuch der medizinischen Radiologie, Vol V/4, p 188)Google Scholar
  2. 2.
    Dahmen G (1976) Zur Früherkennung und Frühbehandlung der Epiphyseolysis capitis femoris. Med Monatschr 30:298Google Scholar
  3. 3.
    Bloomberg TJ, Nuttal Jane, Stoker DJ (1978) Radiology in early slipped capital epiphysis. Clin Radiol 29:657CrossRefPubMedGoogle Scholar
  4. 4.
    Caffey J (1978) Pediatric X-ray diagnosis, 7th edn. Year Book Medical Publishers, Chicago, p 1327Google Scholar
  5. 5.
    Ozonoff MB (1979) Pediatric orthopedic radiology. WB Saunders, Philadelphia London Toronto, p 188Google Scholar
  6. 6.
    Kampner SL, Wissinger A (1972) Anterior slipping of the capital femoral epiphysis. J Bone Joint Surg 54A:1531Google Scholar
  7. 7.
    Skinner SR, Berkheimer GA (1977) Valgus slip of the capital femoral epiphysis. Clin Orthop Res 135:90Google Scholar
  8. 8.
    Billing L (1954) Roentgen examination of the proximal femur end in children and adolescents. Acta Radiol Suppl 110Google Scholar
  9. 9.
    Billing L, Severin E (1959) Slipping epiphysis of the hip. A roentgenological and clinical study based on a new roentgen technique Acta Radiol Suppl 174Google Scholar
  10. 10.
    Griffith MJ (1976) Slipping of the capital femoral epiphysis. Ann Roy Coll Surg 58:34Google Scholar

Copyright information

© Springer-Verlag 1984

Authors and Affiliations

  • L. Billing
    • 1
  • O. Eklöf
    • 1
  1. 1.Department of RadiologySt. Göran's Children's HospitalStockholmSweden

Personalised recommendations