Wirth T, Eberhardt O, Cerkez D, Fernandez F
Orthopädische Klinik, Olgahospital, Klinikum Stuttgart, Kriegsbergstr. 62, 70174, Stuttgart, Deutschland.
Orthopade. 2019 Aug;48(8):685-692. doi: 10.1007/s00132-019-03728-3.
In slipped capital femoral epiphysis (SCFE) atypical causes can be found in about 5% of cases. The patients' age differs from the typical age of SCFE patients of between age 10 and 16. There are numerous causes of atypical SCFE: different endocrine disorders, sequelae of chronic renal failure and effects of radiation and chemotherapy on the proximal femoral physis. The diagnostic and therapeutic procedures must be expanded to the search for and treatment of endocrinological disorders. Orthopaedic treatment follows the principles applied to patients with idiopathic SCFE. However, the specific treatment modalities which arise from different patient ages and bone qualities are taken into account.
在股骨头骨骺滑脱(SCFE)中,约5%的病例可发现非典型病因。这些患者的年龄不同于典型SCFE患者的10至16岁年龄范围。非典型SCFE有多种病因:不同的内分泌紊乱、慢性肾功能衰竭的后遗症以及放疗和化疗对股骨近端骨骺的影响。诊断和治疗程序必须扩展到对内分泌紊乱的查找和治疗。骨科治疗遵循适用于特发性SCFE患者的原则。然而,要考虑到因患者年龄和骨质不同而产生的具体治疗方式。