Key result
Sequential MRI identified physeal widening in 4 of 10 asymptomatic contralateral hips, guiding prophylactic pinning and preventing slip development.
Why the study?
Does sequential MRI detect preslip changes in the contralateral hip of patients with slipped capital femoral epiphysis to guide prophylactic pinning?
Observational (n=10)
Does sequential MRI detect preslip changes in the contralateral hip of patients with slipped capital femoral epiphysis to guide prophylactic pinning?
Sequential MRI can accurately document physeal changes in slipped capital femoral epiphysis and may guide prophylactic pinning for contralateral hips.
Hypothesis-generating for sequential MRI surveillance after SCFE; should not yet change practice or guide prophylactic pinning.
Thirty-three images using magnetic resonance imaging (MRI) in 10 patients with slipped capital femoral epiphysis were evaluated. The MRI of affected hips delineated typical widening of the physis. Sequential MRI demonstrated the process of premature closure of the physis developing from the posterior portion anteriorly. In 4 of the 10 asymptomatic contralateral hips, physeal widening was clearly observed in the center or posteromedial region of the physis on T1-weighted images. We performed prophylactic pinning for the four cases showing physeal widening on MRI, and none of the other cases developed a slip. MRI accurately documented detailed features of slips, as well as physeal changes, and may provide indicative information on prophylactic pinning for contralateral hips.
No takes yet. Share an insight, caveat, or question.
Futami et al. (2001) conducted an observational in Slipped capital femoral epiphysis (n=10). Sequential Magnetic Resonance Imaging (MRI) was evaluated on Physeal widening in asymptomatic contralateral hips. Sequential MRI identified physeal widening in 4 of 10 asymptomatic contralateral hips, guiding prophylactic pinning and preventing slip development.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: