Artroscopia do quadril na epifisiólise grave

We present a case report of a 12-year-old boy diagnosed with slipped capital femoral epiphysis grade III, with an acute-on-chronic presentation, associated with severe functional impairment and significant reduction in hip range of motion. The patient underwent a Dunn-type trapezoidal wedge femoral...

Descripción completa

Detalles Bibliográficos
Autores: Dobashi, Eiffel Tsuyoshi [UNIFESP], Blumetti, Francesco Camara [UNIFESP], Pinto, Jose Antonio [UNIFESP], Milani, Carlo [UNIFESP], Ishida, Akira [UNIFESP]
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2010
País:Brasil
Institución:Universidade Federal de São Paulo (UNIFESP)
Repositorio:Repositório Institucional da UNIFESP
Idioma:portugués
OAI Identifier:oai:repositorio.unifesp.br:11600/6037
Acceso en línea:http://dx.doi.org/10.1590/S0102-36162010000700011
http://repositorio.unifesp.br/handle/11600/6037
Access Level:acceso abierto
Palabra clave:Epiphyses, Slipped
Hip
Femur Head
Arthroscopy
Child
Epífise Deslocada
Quadril
Cabeça do Fêmur
Artroscopia
Criança
Descripción
Sumario:We present a case report of a 12-year-old boy diagnosed with slipped capital femoral epiphysis grade III, with an acute-on-chronic presentation, associated with severe functional impairment and significant reduction in hip range of motion. The patient underwent a Dunn-type trapezoidal wedge femoral neck subtraction osteotomy by hip arthroscopy, followed by closed reduction and fixation with a 6.5mm percutaneous screw. There was significant improvement of the clinical picture on the first postoperative day, allowing for early rehabilitation. After a brief review of the literature, the authors propose this novel surgical technique as a viable method to treat severe slipped capital femoral epiphysis, encouraging the development of new studies on the subject.