Vincent-Delorme C, Maroteaux P
Service de pédiatrie et unité CNRS ER 88, centre hospitalier, Arras, France.
Arch Pediatr. 1995 Dec;2(12):1137-43. doi: 10.1016/0929-693x(96)89913-1.
Dysplasia epiphysealis capitis femoris is not well-known despite its relative frequency; its prognosis is difficult to predict.
Twenty children (19 boys and one girl) aged 2.5 to 7 years at diagnosis were included in the study. They had delayed capitis femoris apparition, or a fragmentation of dysplastic capitis femoris. The prognosis remained poor in 13 patients.
Most authors consider that prognosis of this disease is always favorable. We failed to find early prognostic criteria; radiological findings valuable for prognosis are only present after 3 to 6 years.
Early new imaging techniques have to be evaluated before considering impossibility to foresee the evolution.
