Mestriner Marcos Barbieri, Verquietini Cleber Marcial Aguilar, Waisberg Gilberto, Akkari Miguel, Fukunaga Erika Tiemi, Santili Cláudio
Faculdade de Ciências Médicas da Santa Casa de São Paulo - São Paulo, SP, Brazil.
Acta Ortop Bras. 2012;20(4):203-6. doi: 10.1590/S1413-78522012000400001.
To identify anatomical changes and skeletal maturity through radiographic analysis, allowing more accuracy for indication of surgical management of non-slipped hips in patients with epiphysiolisys.
A retrospective study of the radiographs of 61 patients followed until the end of skeletal growth, assigned to two groups: 37 patients with unilateral epiphysiolysis, and 24 patients with contralateral epiphysiolysis diagnosed during follow-up. The skeletal maturity was evaluated using pelvis radiographs (Oxford method) and compared between the groups for patients of the same gender. In addition, the Southwick angle (in anteroposterior and in Lauenstein view), physeal sloping angle and physeal posterior sloping angle were compared as well.
Skeletal maturity showed a statistically significant difference between the two groups for both genders. It was observed that the lateral view of the Southwick angle is mathematically equal to the physeal posterior sloping angle, and were the only ones to show relevant differences between the groups.
The Oxford method and the Southwick angle in Lauenstein view can be utilized as parameters to help the physician to better indicate the prophylactic surgical treatment of the contralateral hip, in patients with slipped capital femoral epiphysis (SCFE). Level of Evidence III, Diagnostic Study.
通过影像学分析确定解剖学变化和骨骼成熟度，以便更准确地指导骨骺溶解患者未滑脱髋关节的手术治疗。
对61例随访至骨骼生长结束的患者的X线片进行回顾性研究，分为两组：37例单侧骨骺溶解患者，以及24例在随访期间诊断为对侧骨骺溶解的患者。使用骨盆X线片（牛津方法）评估骨骼成熟度，并在相同性别的患者组间进行比较。此外，还比较了Southwick角（前后位和Lauenstein位）、骨骺倾斜角和骨骺后倾斜角。
两组患者的骨骼成熟度在性别上均有统计学显著差异。观察到Southwick角的侧位在数学上等于骨骺后倾斜角，且是两组间唯一显示出显著差异的指标。
牛津方法和Lauenstein位的Southwick角可作为参数，帮助医生更好地指导股骨头骨骺滑脱（SCFE）患者对侧髋关节的预防性手术治疗。证据等级III，诊断性研究。
