Which anatomical conditions are associated with limitations of the hip function after SCFE?

Nils Wirries; Gesche Heinrich; Alexander Derksen; Michael Schwarze; Stefan Budde; Henning Windhagen; Thilo Floerkemeier

doi:10.1016/j.jor.2021.07.011

Which anatomical conditions are associated with limitations of the hip function after SCFE?

J Orthop. 2021 Jul 12:26:94-97. doi: 10.1016/j.jor.2021.07.011. eCollection 2021 Jul-Aug.

Authors

Nils Wirries¹, Gesche Heinrich¹, Alexander Derksen¹, Michael Schwarze², Stefan Budde¹, Henning Windhagen¹, Thilo Floerkemeier³

Affiliations

¹ Department of Orthopaedic Surgery at Diakovere Annastift, Hannover Medical School, Hannover, Germany.
² Laboratory for Biomechanics and Biomaterials, Hannover Medical School, Hannover, Germany.
³ go:h Gelenkchirurgie - Orthopädie, Hannover, Germany.

Abstract

Background: Patients sustained a slipped capital femoral epiphysis (SCFE) might have symptoms beyond their stabilization surgery in the childhood.

Methods: 35 patients with a SCFE were treated in our clinic and available for a clinical follow-up. The results were compared in dependence of the presence of dysplasia, acetabular retroversion or a FAI type CAM.

Results: A FAI type CAM led to significant inferior results (p < 0.05), especially in combination with a retroversion.

Conclusions: The clinical outcome seemed to be influenced by the presence of a FAI type CAM or a combination with a retroversion, which might aggravate the femoro-acetabular conflict.

Level of evidence: III, retrospective.

Keywords: Femoro-acetabular impingement; Hip dysplasia; Retroversion; Slipped capital femoral epiphysis.