This chapter explores two common pediatric hip disorders: slipped capital femoral epiphysis (SCFE) and Legg-Calvé-Perthes disease (LCPD). The SCFE is a prevalent adolescent condition that arises from mechanical instability in the proximal femoral physis, often associated with obesity and hormonal changes during growth spurts. Its diagnosis and management focus on preventing further displacement and long-term complications like femoroacetabular impingement. The LCPD is characterized by osteonecrosis of the femoral epiphysis, involving a progressive cycle of vascular disruption, necrosis, and revascularization. The management of LCPD aims to minimize joint incongruence and mitigate functional limitations. This chapter highlights their epidemiology, pathophysiology, diagnostic approaches, and therapeutic options, offering insights into surgical and nonsurgical strategies to improve patient outcomes for SCFE and LCPD.

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Pediatrics: Slipped Capital Femoral Epiphysis, Legg-Calve-Perthes

  • Elizabeth J. Scott,
  • Yi-Meng Yen

摘要

This chapter explores two common pediatric hip disorders: slipped capital femoral epiphysis (SCFE) and Legg-Calvé-Perthes disease (LCPD). The SCFE is a prevalent adolescent condition that arises from mechanical instability in the proximal femoral physis, often associated with obesity and hormonal changes during growth spurts. Its diagnosis and management focus on preventing further displacement and long-term complications like femoroacetabular impingement. The LCPD is characterized by osteonecrosis of the femoral epiphysis, involving a progressive cycle of vascular disruption, necrosis, and revascularization. The management of LCPD aims to minimize joint incongruence and mitigate functional limitations. This chapter highlights their epidemiology, pathophysiology, diagnostic approaches, and therapeutic options, offering insights into surgical and nonsurgical strategies to improve patient outcomes for SCFE and LCPD.