TY - JOUR
T1 - Slipped capital femoral epiphysis in Down syndrome
AU - Dietz, Frederick R.
AU - Albanese, Stephen A.
AU - Katz, Danielle A.
AU - Dobbs, Matthew B.
AU - Salamon, Peter B.
AU - Schoenecker, Perry L.
AU - Sussman, Michael D.
PY - 2004
Y1 - 2004
N2 - Slipped capital femoral epiphysis (SCFE) and Down syndrome are both uncommon in the population at large, and rarely are both conditions present in a single individual. Institutional records were searched for both Down syndrome and SCFE. At least 2 years of follow-up was required. Eight patients were identified. At presentation four patients could not walk due to pain and four could walk. Six of eight hips presented with grade III SCFE. Four hips were treated with internal fixation in situ and four were manipulatively reduced in the operating room at the time of fixation with percutaneous screws or pins. Three hips healed uneventfully. Five hips developed aseptic necrosis (three partial, two whole head). This small retrospective study suggests an extremely high rate of complications in adolescents with Down syndrome and SCFE.
AB - Slipped capital femoral epiphysis (SCFE) and Down syndrome are both uncommon in the population at large, and rarely are both conditions present in a single individual. Institutional records were searched for both Down syndrome and SCFE. At least 2 years of follow-up was required. Eight patients were identified. At presentation four patients could not walk due to pain and four could walk. Six of eight hips presented with grade III SCFE. Four hips were treated with internal fixation in situ and four were manipulatively reduced in the operating room at the time of fixation with percutaneous screws or pins. Three hips healed uneventfully. Five hips developed aseptic necrosis (three partial, two whole head). This small retrospective study suggests an extremely high rate of complications in adolescents with Down syndrome and SCFE.
KW - Aseptic necrosis of the hip
KW - Down syndrome
KW - Slipped capital femoral epiphysis
UR - http://www.scopus.com/inward/record.url?scp=4344674126&partnerID=8YFLogxK
U2 - 10.1097/01241398-200409000-00010
DO - 10.1097/01241398-200409000-00010
M3 - Article
C2 - 15308900
AN - SCOPUS:4344674126
SN - 0271-6798
VL - 24
SP - 508
EP - 513
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
IS - 5
ER -