Arthroscopic Treatment of Femoroacetabular Impingement in Slipped Capital Femoral Epiphysiolysis: A Case Report^[*]

Abstract

Slipped capital femoral epiphysiolysis (SCFE) may result in femoroacetabular impingement (FAI) of the hip in up to one third of the cases. Residual deformity of the cam-type, or “pistol-grip”, is associated with chondrolabral injury, resulting in pain, functional disability, and early osteoarthritis. The arthroscopic treatment with osteochondroplasty proved to be beneficial in a selected case of FAI secondary to SCFE.

Keywords

arthroscopy - hip - displaced epiphysis - femoroacetabular impingement

^* Work developed at the Orthopedics and Traumatology Department, Pontifícia Universidade Católica do Paraná (PUCPR), Curitiba, PR, Brazil.

Publication History

Received: 29 November 2019

Accepted: 15 April 2020

Article published online:
19 February 2021

• Referências

• 1 Lehmann CL, Arons RR, Loder RT, Vitale MG. The epidemiology of slipped capital femoral epiphysis: an update. J Pediatr Orthop 2006; 26 (03) 286-290
• 2 Pritchett JW, Perdue KD. Mechanical factors in slipped capital femoral epiphysis. J Pediatr Orthop 1988; 8 (04) 385-388
• 3 Guarnieiro R, Luzo CAM, Grigoletto Júnior W. et al. A queilectomia como operação de salvamento na patologia do quadril: resultados preliminares. Rev Bras Ortop 1995; 30 (1/2): 42-44
• 4 Dodds MK, McCormack D, Mulhall KJ. Femoroacetabular impingement after slipped capital femoral epiphysis: does slip severity predict clinical symptoms?. J Pediatr Orthop 2009; 29 (06) 535-539
• 5 Leunig M, Casillas MM, Hamlet M. et al. Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand 2000; 71 (04) 370-375
• 6 Basheer SZ, Cooper AP, Maheshwari R, Balakumar B, Madan S. Arthroscopic treatment of femoroacetabular impingement following slipped capital femoral epiphysis. Bone Joint J 2016; 98-B (01) 21-27
• 7 Mahran MA, Baraka MM, Hefny HM. Slipped capital femoral epiphysis: a review of management in the hip impingement era. SICOT J 2017; 3: 35
• 8 Abraham E, Gonzalez MH, Pratap S, Amirouche F, Atluri P, Simon P. Clinical implications of anatomical wear characteristics in slipped capital femoral epiphysis and primary osteoarthritis. J Pediatr Orthop 2007; 27 (07) 788-795
• 9 Leunig M, Horowitz K, Manner H, Ganz R. In situ pinning with arthroscopic osteoplasty for mild SCFE: A preliminary technical report. Clin Orthop Relat Res 2010; 468 (12) 3160-3167
• 10 Akkari M, Santili C, Braga SR, Polesello GC. Trapezoidal bony correction of the femoral neck in the treatment of severe acute-on-chronic slipped capital femoral epiphysis. Arthroscopy 2010; 26 (11) 1489-1495
• 11 Zaltz I, Kelly BT, Larson CM, Leunig M, Bedi A. Surgical treatment of femoroacetabular impingement: what are the limits of hip arthroscopy?. Arthroscopy 2014; 30 (01) 99-110