1. The Atypical Patient With Slipped Capital Femoral Epiphyses May Be at Increased Risk for a Missed Contralateral Slip
- Author
-
Brant Sachleben, James R. Kee, R Dale Blasier, Eric R. Siegel, Katherine E. Travis, Brien M Rabenhorst, and Asa W. Shnaekel
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Slipped Capital Femoral Epiphyses ,Body Mass Index ,Humans ,Medicine ,Orthopedics and Sports Medicine ,Child ,Retrospective Studies ,Missed Diagnosis ,business.industry ,Medical record ,Age Factors ,Pediatric Surgeon ,Retrospective cohort study ,Institutional review board ,medicine.disease ,Surgery ,Exact test ,Orthopedic surgery ,Female ,Hip Joint ,Clinical Competence ,Anatomic Landmarks ,business ,Slipped capital femoral epiphysis ,Body mass index - Abstract
Slipped capital femoral epiphysis (SCFE) is a commonly encountered hip disorder. The goal of this study was to describe the incidence of missed contra-lateral SCFE as well as to identify risk factors. The authors hypothesized that contralateral slips are more often missed in patients with severe involvement of the treated side. After institutional review board approval was obtained, a retrospective chart review was performed of all pediatric patients who were treated for sequential and bilateral SCFE at a single institution during an 18-year period. Medical records were reviewed for demographic features and attending surgeon. Radiographs were reviewed for skeletal maturity, Klein's line, and severity of the treated slip. All radiographs were reviewed by 3 pediatric orthopedists. Contralateral SCFE was deemed present when consensus was achieved. Comparisons were made with Fisher's exact test, and P P =.0065). A contralateral slip was more likely to be present in patients who had a positive finding for Klein's line ( P Orthopedics . 2020;43(2):e114–e118.]
- Published
- 2020