Stanitski CL
Wayne State University, Detroit; Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit.
J Am Acad Orthop Surg. 1994 Mar;2(2):96-106. doi: 10.5435/00124635-199403000-00003.
Acute slipped capital femoral epiphysis represents a unique type of proximal femoral epiphyseal instability. The potential for complications and unsatisfactory outcomes is high, especially due to avascular necrosis. A newly proposed classification based on epiphyseal stability provides a rational assessment of this acute physeal fracture. Improvements in imaging and fixation techniques have reduced the morbidity of this condition. Choice of treatment must be based on the surgeon's experience and expertise. Vigilance is particularly required in young patients with underlying endocrine or metabolic conditions that predispose them to bilateral hip involvement.
急性股骨头骨骺滑脱是一种独特类型的股骨近端骨骺不稳定。出现并发症和预后不佳的可能性很大，尤其是由于缺血性坏死。一种新提出的基于骨骺稳定性的分类方法为这种急性骨骺骨折提供了合理的评估。影像学和固定技术的改进降低了这种疾病的发病率。治疗方法的选择必须基于外科医生的经验和专业知识。对于患有潜在内分泌或代谢疾病、易双侧髋关节受累的年轻患者，尤其需要保持警惕。
