股骨骨骺滑动:诊断陷阱和治疗选择。

Q3 Medicine Pediatria Medica e Chirurgica Pub Date : 2022-10-28 DOI:10.4081/pmc.2022.296
Elena Panuccio, Daniele Priano, Valerio Caccavella, Antonio Memeo
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引用次数: 1

摘要

在青春期发生的最常见的髋关节疾病之一是股骨头骨骺滑动(SCFE),在过去的几十年里,其发病率一直在上升。为了确保早期诊断和及时干预,骨科医生应该意识到这个实体。回顾临床检查和影像诊断程序的最新进展。介绍了常用的成像方法、滑移测量技术和与治疗相关的分类方案。基于相关的研究结果和从正在进行的临床实践中获得的知识,对SCFE手术进行概述。稳定SCFE病例的金标准治疗方法是使用单个空心螺钉原位固定,不复位,即保持干骺端和骺端连续性。然而,对于稳定的中/重度SCFE的最佳治疗方案存在分歧。对于不稳定骨骺松解的最佳手术策略,尚未达成普遍共识。找到一种可以改善股骨骨骺滑动的长期预后的手术方法是当前的问题。
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Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options.

One of the most prevalent hip pathologies that develops during adolescence is Slipped Capital Femoral Epiphysis (SCFE), and over the past few decades, its incidence has been rising. To ensure an early diagnosis and prompt intervention, orthopedic surgeons should be aware of this entity. Review of recent developments in clinical examination and imaging diagnostic procedures. The presentation includes commonly used imaging methods, slippage measurement techniques, and classification schemes that are pertinent to treatment. An overview of SCFE surgery based on pertinent study findings and knowledge gained from ongoing clinical practice. The gold standard treatment for stable SCFE cases- those in which the continuity of the metaphysis and epiphysis is preserved-is pinning in situ using a single cannulated screw without reduction. However, there are disagreements over the best course of action for stable moderate/severe SCFE. On the best surgical strategy for unstable epiphysiolysis, no universal agreement has been reached. Finding the surgical procedure that will improve the long-term outcomes of a slipped capital femoral epiphysis is the question at hand.

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来源期刊
Pediatria Medica e Chirurgica
Pediatria Medica e Chirurgica Medicine-Pediatrics, Perinatology and Child Health
CiteScore
0.70
自引率
0.00%
发文量
21
审稿时长
10 weeks
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