Key result
Surgical dislocation provides direct diagnosis and treatment of femoroacetabular impingement following LCPD and SCFE.
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The surgical dislocation approach provides significant diagnostic and therapeutic utility for managing femoroacetabular impingement secondary to LCPD and SCFE.
Problematic femoroacetabular impingement frequently is seen following Legg-Calvé-Perthes disease (LCPD) in young children and following slipped capital femoral epiphysis (SCFE) in older children and adolescents. Although symptoms may be mild in adolescents and young adults, chondral damage following LCPD and SCFE deformity is cumulative and irreversible, which has led to a recent emphasis on the consideration of early treatment. The surgical dislocation approach and improved MRI and threedimensional CT have revealed common patterns of deformity and structural damage. The surgical dislocation approach is a superb diagnostic tool unmatched in assessing complex dynamic impingement patterns, and it allows direct treatment of deformity through recontouring of the head and neck and, in unhealed SCFE, epiphyseal realignment. The contemporary hip-preserving management of deformity following LCPD and SCFE is changing rapidly, necessitating careful evaluation of new treatment methods.
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Millis et al. (2013) conducted a review in Femoroacetabular impingement following Legg-Calvé-Perthes disease (LCPD) and slipped capital femoral epiphysis (SCFE). Surgical dislocation approach was evaluated. The surgical dislocation approach provides diagnostic assessment and direct treatment of deformity for femoroacetabular impingement following Legg-Calvé-Perthes disease and slipped capital femoral epiphysis.
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