Vick S, Jaster D, Kundt G, Plath J, Schulze R
Klinik für Orthopädie der Universität Rostock.
Z Orthop Ihre Grenzgeb. 1996 Jul-Aug;134(4):305-8. doi: 10.1055/s-2008-1039766.
Pelvis radiographs of 47 children with slipped capital femoral epiphyses (SCFE) and 24 without a hip disorder were reviewed in a retrospective study by four readers to determine the skeletal age by the Oxford method. 72% of the children suffering from SCFE had a body weight above the standard level but a normal body height at the time of diagnosis. The mean chronologic age was 3 years higher than the skeletal age determined by the Oxford-score. The linear regression analyses showed that children with SCFE have had a skeletal maturation delay in comparison with the normal group at the beginning of the age period in question. This deficiency became greater as chronologic age increased. All children with the SCFE disease showed a nearly uniform skeletal age clearly below the bone age standard irrespective of their chronologic age. These results, in connection with obesity in most cases, support the idea of hormonal disorders with delayed skeletal maturation development in the aetiology of SCFE disease.
在一项回顾性研究中，四位阅片者对47例患有股骨头骨骺滑脱（SCFE）的儿童和24例无髋关节疾病的儿童的骨盆X光片进行了复查，以通过牛津方法确定骨骼年龄。72%患有SCFE的儿童在诊断时体重高于标准水平，但身高正常。平均实际年龄比牛津评分确定的骨骼年龄高3岁。线性回归分析表明，与正常组相比，在所讨论的年龄阶段开始时，患有SCFE的儿童骨骼成熟延迟。随着实际年龄的增加，这种不足变得更加明显。所有患有SCFE疾病的儿童，无论其实际年龄如何，其骨骼年龄几乎都明显低于骨龄标准。这些结果，结合大多数病例中的肥胖情况，支持了在SCFE疾病病因中存在激素紊乱导致骨骼成熟发育延迟的观点。
