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Interventions for treating slipped upper femoral epiphysis (SUFE)

Alshryda, S.; Tsang, K.; Al-Shryda, J.; Blenkinsopp, J.; Adedapo, A.; Montgomery, R.; Mason, J.

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Authors

S. Alshryda

K. Tsang

J. Al-Shryda

J. Blenkinsopp

A. Adedapo

R. Montgomery

J. Mason



Abstract

Although a rare condition, slipped upper femoral epiphysis (SUFE) is one of the most common types of paediatric and adolescent hip disorder. SUFE involves instability of the growth plate (often called the physis) at the junction between the head and neck of the thigh bone (femur) resulting in the head of the femur staying in the acetabulum and the neck slipping forward and outward. Although, the cause is poorly understood, several anatomical features and medical conditions have been implicated. The following features lead to an increase in the shear forces across the physis and can lead to SUFE (Herring 2008): 1. increased weight (> 80th centile); 2. femoral retroversion (> 10º); 3. increased physis height due to widened hypertrophic zone; 4. more vertical slope of the physis; and 5. trauma. Medical conditions associated with SUFE include endocrine disorders, renal failure osteodystrophy and previous radiation therapy (Loder 2000). About 30% of SUFE patients subsequently develop bilateral SUFE with the other hip slipping as well.

Citation

Alshryda, S., Tsang, K., Al-Shryda, J., Blenkinsopp, J., Adedapo, A., Montgomery, R., & Mason, J. (2013). Interventions for treating slipped upper femoral epiphysis (SUFE). Cochrane Database of Systematic Reviews, https://doi.org/10.1002/14651858.cd010397

Journal Article Type Other
Publication Date 2013-02
Deposit Date Mar 8, 2013
Publicly Available Date Mar 28, 2024
Journal The Cochrane library
Publisher Cochrane Collaboration
Peer Reviewed Peer Reviewed
Issue 2
DOI https://doi.org/10.1002/14651858.cd010397

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