3). Femoral retroversion is often a congenital condition, meaning children are born with it. Millis MB. In patients with implant failure following in situ fixation, this included assessment of the femoral growth plate for planning of revision in situ fixation. Some error has occurred while processing your request. Kiapour AM, Kiapour A, Maranho DA, Kim Y-J, Novais EN. 28. Common complications include secondary arthrosis and. SELECTED PROCEEDINGS FROM THE 2020 BERNESE HIP SYMPOSIUM GUEST EDITOR: KLAUS-ARNO SIEBENROCK MD. 2006;26:291-294. Measurement on axial HASTE images (proximal and distal femur): Fishkin Z, Armstrong DG, Shah H, Patra A, Mihalko WM. official website and that any information you provide is encrypted We performed further subgroup analysis between hips with and without previous in situ fixation to assess whether femoral version measurements might be affected by postoperative remodeling or potential previous partial reduction. . Femoral retroversion is a rotational or torsional deformity in which the femur twists backward (outward) relative to the knee. River Terrace
Femoral retroversion may also occur after a physical trauma such as a femur fracture. We detected mean differences ranging from -19 to 4 (all p < 0.005) for 8 of 10 pairwise comparisons in hips with SCFE. The present study evaluated, using an integrated vascular approach, changes in structure and function of the common carotid and femoral arteries (CCA and CFA) after prolonged head-down tilt bed rest (HDTBR). Femoral retroversion can occur in one or both legs. Clinical Orthopaedics and Related Research, Get new journal Tables of Contents sent right to your email inbox, The Association of Bone and Joint Surgeons, https://journals.lww.com/clinorthop/Fulltext/2019/05000/Differences_in_Femoral_Torsion_Among_Various.26.aspx. 2017;11:284-288. The association of femoral retroversion with slipped capital femoral epiphysis. This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee, as well as an abnormal gait (walking stance). The mean femoral neck version was lower on the SCFE side than on the contralateral side (-2 13 versus 7 11; p < 0.001) (Table 3). J Bone Joint Surg Am. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. We reviewed our institutional database for patients who were treated for SCFE and had undergone pelvic CT scanning for surgical planning. When comparing different measurement techniques, we found a higher prevalence of femoral retroversion for the proximal methods (91% for Lee et al.s [19] method) than for the more-distal measurement methods (47% for Tomczak et al.s [44] method) (Table 3). Twenty-nine percent (23 of 79) of patients had no previous surgical treatment for SCFE. Although femoral retroversion has been linked to the onset of slipped capital femoral epiphysis (SCFE), and may result from a rotation of the femoral epiphysis around the epiphyseal tubercle leading to femoral retroversion, femoral version has rarely been described in patients with SCFE. Novais EN, Millis MB. Accordingly, there was a mean difference of -16 6 (95% CI -17 to -15; p < 0.001) between the methods of Lee et al. Femoral retroversion (also known as hip retroversion) is a rotational or torsional deformity in which the femur (thighbone) twists backward (outward) in relation to the knee. Femoral anteversion causes the child's knees and feet to turn inward, or have what is also known as a "pigeon-toed" appearance. 519 East 72nd St., Suite 204
CORR Insights: How Common Is Femoral Retroversion and How Is it Affected by Different Measurement Methods in Unilateral Slipped Capital Femoral Epiphysis? Among 10 possible pairwise combinations, we detected differences for 8 pairwise comparisons in hips with SCFE (Table 4). Clinical features include an abnormal gait and pain with prolonged weight-bearing. Erickson JB, Samora WP, Klingele KE. J Pediatr Orthop. 8. Morphologic Features of the Contralateral Femur in Patients With Unilateral Slipped Capital Femoral Epiphysis Resembles Mild Slip Deformity: A Matched Cohort Study. [35] uses the center of the femoral neck as a reference at the level where both cortices run parallel. AR is associated with changes in load transmission across the hip, being a risk factor for early. Thus, the hip possesses three degrees of freedom of motion with three correspondingly arranged, mutually . The torsional deformity is corrected by re-establishing the normal rotation between the hip and the knee. 38. Retroversion refers to an abnormal backward rotation of the hip relative to the knee. Therefore, quantifying femoral version in patients with SCFE should be based on a measurement technique that includes the femoral rotations center. J Child Orthop. 2. and most-distal methods (Tomczak et al. Torsional deformity can also occur after a fracture, if a broken bone heals with incorrectly (called malunion). Furthermore, the prevalence of actual femoral retroversion and the effect of different measurement methods on femoral version angles has yet to be studied in SCFE. Before Balakumar B, Flatt E, Madan S. Moderate and severe SCFE (slipped capital femoral epiphysis) arthroscopic osteoplasty vs open neck osteotomy-a retrospective analysis of results. Video case study 2019:47:3120-3132. 17. This condition can affect patients of all ages and leads to abnormal stress in the low back, hip and knee and abnormal gait. Thus, this should not jeopardize the results of our study to a relevant degree. External rotation contracture of the hip. 19. One radiology resident (FS) with 6 years of experience in hip imaging measured femoral version bilaterally using five previously described methods (Table 1). What are the causes of femoral retroversion? AJR Am J Roentgenol. 1973;55:1218-1224. While both femoral anteversion and retroversion do not always cause discomfort, they can eventually bring about pain in the lower back, hip, and knee. 1956;88:3-41. Bob & Brad 3.9M views 5 years ago. Retroversion of the femur may cause anterior femoroacetabular impingement. [44]: 0 13 and Murphy et al. 39. To develop effective prevention strategies, we must first understand what it is, what impact it . 1987;5:523-528. Case reports: acetabular damage after mild slipped capital femoral epiphysis. 2) and hip ROM [ 32, 33 ]. The site is secure. A pathological increase in angle of torsion is called femoral anteversion, and a pathological decrease in the angle or reversal of torsion is known as femoral retroversion. The hip joint is where the femoral head (the top of the femur) meets the pelvis. Femoral anteversion describes the inward rotation of the femur bone in the upper leg. The epidemiology of bilateral slipped capital femoral epiphysis. These differences between hips with SCFE and the contralateral side were higher and ranged from -17 11 (95% CI -20 to -15; p < 0.001) based on the method of Tomczak et al. You may be trying to access this site from a secured browser on the server. The retroversion was causing a minor curvature in my lumbar spine, tendinosis in my hamstring, and labral tears. Historically, severe and moderate SCFE deformities leading to symptomatic femoroacetabular impingement have been treated with an extraarticular approach by means of an intertrochanteric osteotomy [16, 41]. The state of being turned or tilted back. government site. FOIA femoral retroversion synonyms, femoral retroversion pronunciation, femoral retroversion translation, English dictionary definition of femoral retroversion. 45. The prevalence of femoral retroversion was high in patients with SCFE and increased when using proximal anatomic landmarks. 14. The data table on the chart reports the mean SD. Thus, to assess the full extent of an SCFE deformity, femoral version measurements should consider the position of the displaced epiphysis. to call, please leave a message and we will return your call. This site needs JavaScript to work properly. Femoral retroversion | definition of femoral retroversion by Medical dictionary femoral retroversion Also found in: Dictionary, Thesaurus, Encyclopedia. Thereby, we could confirm that leg position was neutral and symetrical (p = 0.29) between the SCFE hip (1 3) and the contralteral hip (1 3) in our study group. Passive hip range of motion predicts femoral torsion and acetabular version. Clinical outcomes after arthroscopic psoas lengthening: the effect of femoral version. 2019;43:2375-2382. 5. Coxa vara. This website uses cookies. Bookshelf Proximal femoral physis shear in slipped capital femoral epiphysis--a finite element study. VDK is a continuous series of pathological changes from the lightest to the most severe degrees. At the time of CT, the femoral growth plate of the asymptomatic contralateral side was already closed in 42% (33 of 79) of patients. Femoral antetorsion was significantly higher in patients with pincer-type FAI than in those with cam-type FAI for reader 1 (18.3 9.8 vs 10.0 9.1, P = .02) and reader 2 (18.7 10.5 vs 11.6 8.8, P = .04). In this type of surgery, the femur bone is cut through a portal and an intramedullary rod is inserted into the marrow cavity of the bone. 2. 10. 47. Loder RT, Aronson DD, Greenfield ML. To facilitate communication among physicians and for the design of future studies, we recommend consistently reporting the applied measurement technique. [44]) (Table 3). I've recently turned 18 and I want to share my experience of femoral retroversion. . In some cases, the doctor may perform a less invasive version of a femoral osteotomy. method), we used the most cephalic junction of the greater trochanter as the landmark and, most distally, we used the center base of the femoral neck superior to the lesser trochanter (Murphy et al.). Rebello G, Spencer S, Millis MB, Kim Y-J. 479(5):960-961, May 2021. Excessive femoral anteversion can cause instability, damage of the articular cartilage and acetabular labrum, and eventually osteoarthritis. Femoral version angles did not differ between hips with and without previous in situ pinning for any of the five measurement methods (for example, Lee et al. 1996;5:74-76. 1999;81:1747-1770. Schmaranzer F, Lerch TD, Siebenrock KA, Tannast M, Steppacher SD. A turning or tilting backward. Coxa valga and antetorta increases differences among different femoral version measurements : potential implications for derotational femoral osteotomy planning. J Bone Joint Surg Am. Obesity and decreased femoral anteversion in adolescence. (91% [95% CI 85% to 97%] and 84% [95% CI 76% to 92%], respectively) than for the distal measurement methods of Tomczak et al. This condition is diagnosed in childhood, and is characterized by the unusual "duck feet" posture and walk that the child develops. 31. What Is the Association Among Epiphyseal Rotation, Translation, and the Morphology of the Epiphysis and Metaphysis in Slipped Capital Femoral Epiphysis? To the best of our knowledge, there are no normal reference values for CT-based femoral neck version measurements in children. Femoral version of the general population: does normal vary by gender or ethnicity? Bethesda, MD 20894, Web Policies Based on these findings, we believe it is worthwhile to add evaluation of femoral version to the diagnostic workup of children with SCFE. Routinely measuring femoral version might help surgeons better identify which part of an abnormal femur (cam deformity and/or externally rotated femur) should be corrected. The orientation of the distal femoral condyles served as the distal reference axis for all five measurement methods. Further measurement methods included the femoral head's center and differed regarding the level of landmarks for the proximal femoral reference axis. This is comparable to the femoral neck version of the contralateral hips in our study population. Clin Orthop Relat Res. Bone Joint J. Japanese. J Child Orthop. In the axial HASTE images over the proximal and distal femur a femoral retroversion can be seen, i.e. This surgery includes cutting and realigning the femur. Since the range of femoral version angles is wide, no general prediction regarding the degree of rotational deformity can be made on an individual basis. Femoral anteversion can occur in one or both legs. The https:// ensures that you are connecting to the For the definition of femoral neck version, the midpoint of the femoral neck axis is determined at the level where the cortices run parallel and serves as the proximal reference axis (Fig. Baraka MM, Hefny HM, Thakeb MF, et al. Lerch TD, Boschung A, Todorski IAS, et al. 6 It is the angular [30] (47% [95% CI 36% to 58%] and 60% [95% CI 49% to 71%], respectively [all p < 0.001]) (Table 3). Femoral anteversion. Compression fixation after biplane intertrochanteric osteotomy for slipped capital femoral epiphysis. Symptoms of Out-Toeing - Femoral Retroversion It is easily recognizable because the child develops an unusual walk. This could theoretically affect anatomic landmark selection for femoral version measurements and corresponding femoral version angles. Persistent postoperative pain and/or stiffness, which may be diagnosed by a combination of a decrease in joint capacity and a decrease in global range of motion (ROM), is considered failed hip arthroscopy.. To assess the failure of a hip joint replacement, consider why the primary procedure failed in the first place.Patients over the age of 40 and those with acetabular dysplasia have a lower . The hip joint is where the femoral head (the top of the femur) meets the pelvis. The mean femoral neck version was lower in hips with SCFE than in the contralateral side (-2 13 versus 7 11; p < 0.001). In hips with SCFE, we found excellent agreement (intraclass correlation coefficient [ICC] > 0.80) for intraobserver reproducibility (reader 1, ICC 0.93 to 0.96) and interobserver reliability (ICC 0.95 to 0.98) for all five measurement methods. 2015;31:247-253. femoral retroversion. Combined Imhauser osteotomy and osteochondroplasty in slipped capital femoral epiphysis through surgical hip dislocation approach. 2018;46:122-134. Femoral retroversion is a condition in which the femoral neck is rotated backward on the femoral shaft. retroversion, reduced thoracic kyphosis (TK), increased knee flexion, and increased pelvic shift to balance the SVA, indicat-ing that other sagittal parameters influence sagittal align-ment.9,10 Additionally, cervical sagittal parameters relate to HRQoL and disability, stressing the importance of considering The data table on the chart reports the mean SD. Of the 754 patients diagnosed with SCFE between 2000 and 2017, 172 patients had undergone pelvic CT scans. We could show that assessing the femoral necks orientation alone underestimates the degree of external rotation subsequent to displacement of the epiphysis by 13 9 (Table 4). In these situations, a surgical procedure known as a femoral osteotomy may be used. This is because opposite, incorrect rotations of the femur and tibia often leave the feet parallel during walking, which often makes the misalignment of the hips and knees go unnoticed. Most proximally (Lee et al. Hesper T, Bixby SD, Maranho DA, Miller P, Kim YJ, Novais EN. This yielded a mean side-by side difference of -8 11 (95% CI -11 to -6; p < 0.001) and a higher prevalence of femoral retroversion in hips with SCFE (58% [95% CI 47% to 69%]; p < 0.001) than on the contralateral side (29% [95% CI 19% to 39%]). Koerner JD, Patel NM, Yoon RS, Sirkin MS, Reilly MC, Liporace FA. Would you like email updates of new search results? Abstract Slipped capital femoral epiphysiolysis (SCFE) may result in femoroacetabular. The prevalence of femoral retroversion (< 0) was compared using a chi-square test. Among these, the greatest differences were between the most-proximal methods and the more-distal methods, with a mean difference of -19 7 (95% CI -21 to -18; p < 0.001), comparing the methods of Lee et al. In hips with SCFE, we found excellent agreement (ICC > 0.80) for intraobserver reproducibility for reader 1 (ICC range 0.93 to 0.96), for reader 2 (ICC range 0.97 to 0.99), and interobserver reliability (ICC range 0.95 to 0.98) for all five measurement methods (Table 6). 2014;30:1314-1325. J Pediatr Orthop. Time from SCFE diagnosis to CT was 1.8 2.5 years (Table 1). 3D femoral neck anteversion measurements based on the posterior femoral plane in ORTHODOC system. Diagnosing femoral retroversion can sometimes be difficult, as the common positioning used for X-ray imaging may not reveal a rotation in the femoral neck. This underlines the complex, multifactorial pathogenesis of SCFE, which further includes endocrine disorders [26] and altered epiphyseal orientation [24] and morphology [17, 23] and warrants further investigation. The articular cartilage is intact. In severe cases, however, surgery may be needed to correct the rotation. Femoral neck version, the femoral version angles based on the measurement methods that include the femoral heads center (the methods of Lee et al. The greatest differences were between measurement methods that are based on the most-proximal landmarks and those based on the more-distal landmarks. During the period in question, the general indication for obtaining a CT scan was to define the surgical strategy based on the assessment of deformity severity in patients with newly diagnosed SCFE or with previous in situ fixation. [35]. 2013 Jul;471(7):2163-72. doi: 10.1007/s11999-012-2715-7. Approach to the hip for SCFE: the North American perspective. 2016;98:127-134. Slipped capital femoral epiphysis: prevalence, pathogenesis, and natural history. If the individual also has a separate rotational bone deformity such as internal tibial torsion an inward rotation of the tibia (shinbone) then femoral retroversion becomes even more difficult to diagnose. Mechanical risk factors for SCFE include rapid growth spurts, femoral retroversion, and femoral neck shaft angle. Femoral retroversion is often a congenital condition, meaning it is present from birth and develops in the womb. The mean femoral neck version was lower in hips with SCFE than in the contralateral side (-2 13 versus 7 11; p < 0.001). A Type I error rate of 5% was used. 2015;97:537-543. This procedure may be done for children over age 10 and adults and has a quick and reliable recovery. [35], Tomczak et al. See also: retroversion 2019 May;477(5):1073-1083. doi: 10.1097/CORR.0000000000000610. From proximal to distal, this included the most-proximal methods (Lee et al. Wolters Kluwer Health
Z Orthop Ihre Grenzgeb. Femoral neck version was measured as the orientation of the femoral neck. (1) Do femoral version and the prevalence of femoral retroversion differ between hips with SCFE and the asymptomatic contralateral side? It has been reported that some degree of remodeling of the femoral head-neck junction can be expected after fixation of the epiphysis over time [1, 9]. 23. Femoral anteversion occurs in up to 10 percent of children. J Pediatr Orthop. An official website of the United States government. Please try again soon. (47% [95% CI 36% to 58%] and 60% [95% CI 49% to 71%], respectively [all p < 0.001]). The mean age was 15 4 years, 48% (38 of 79) of the patients were male, and 56% (44 of 79) were obese (defined as a BMI > 95th percentile (mean BMI 34 9 kg/m2). (3) What is the interobserver reliability and intraobserver reproducibility of these measurement methods? Femoral Retroversion This condition rarely causes long-term problems, however, in some, it may predispose to slipped capital femoral epiphysis (SCFE). [19] method -19 16 [95% CI -25 to -12] versus -19 16 [95% CI -23 to -15]; p = 0.90, respectively) (Table 5). J Bone Joint Surg Am. As mentioned, measurement of femoral version in children with SCFE should include the femoral heads center as a proximal reference axis; that is, it should not be solely based on the orientation of the femoral neck. The mean overall femoral version angles increased for hips with SCFE using more-distal landmarks compared with more-proximal landmarks. After applying prespecified inclusion and exclusion criteria, we included 79 patients. 25. Measurement of femoral version has been recommended in patients eligible for hip preservation surgery [27, 38] because of the high prevalence of abnormal femoral version in patients with hip pain [21, 22] and its effect on ROM [8, 20] and the outcome of surgery for femoroacetabular impingement [11, 12]. Schmaranzer F, Lerch TD, Siebenrock KA, Tannast M, Steppacher SD. In these situations, a surgical procedure known as a. may be used. Although external rotation of the proximal femur relative to the femoral condyles (that is, femoral retroversion) has been linked with the onset of SCFE and has been proposed to result from a rotation of the femoral epiphysis around the epiphyseal tubercle leading to femoral retroversion, femoral version has rarely been described in SCFE [24, 31]. The prevalence of femoral retroversion was high in patients with SCFE and increased when using proximal anatomic landmarks. The prevalence of femoral retroversion (< 0) was compared using a chi-square test. Level of evidence: Int Orthop. to -22 13 (95% CI -25 to -19; p < 0.001) according to the method of Murphy et al. the axis of the femoral neck is oriented more posteriorly than the distal reference line connecting the dorsal border of the femoral condyles. Galbraith RT, Gelberman RH, Hajek PC, et al. . These side-by-side differences increased up to -22 (according to the method of Murphy et al. We showed that femoral neck version is asymmetrically decreased in unilateral SCFE, and that differences increase when including the femoral head's center. A subset of patients was measured twice by the first observer and by a second orthopaedic resident (2 years of experience) to assess intraobserver reproducibility and interobserver reliability; for this assessment, we used intraclass correlation coefficients. In these situations, a surgical procedure known as a femoral osteotomy may be used. Femoral retroversion is also often called hip retroversion. MR imaging measurement of the femoral antetorsional angle as a new technique: comparison with CT in children and adults. Symptoms, Causes, Treatment for Out-Toeing, the common name used for a condition known as femoral retroversion. [30], a recent study reported a prevalence of femoral retroversion (< 0) of 5% and a mean femoral version of 19 14 in a cohort of 538 hips with femoroacetabular impingement, developmental dysplasia of the hip, and Perthes disease [22]. 6. The overall mean femoral version angles increased for hips with SCFE (range of means -19 to 0) and the contralateral side (range of means 2 to 19) using distal landmarks compared with more proximal landmarks (Fig. Gelberman et al. Also called hip anteversion, femoral anteversion refers to a forward (inward) rotation in the femur (thigh bone and knee) which connects to the pelvis to form the hip joint. 1967;49:807-835. femoroacetabular impingement. Doing so may better inform surgeons as they contemplate when to use isolated offset correction or perform an addional femoral osteotomy for SCFE correction based on the severity of the slip and the rotational deformity. The patient is a 19-year-old female who was born with a dislocated right hip. The opposite condition, in which the femur has an abnormal forward (inward) rotation, is called femoral anteversion. The Lisbon agreement on femoroacetabular impingement imaging-part 1: overview. Differences in Femoral Torsion Among Various Measurement Methods Increase in Hips With Excessive Femoral Torsion. All five methods were compared side-by-side (involved versus uninvolved hip), and comparisons among all five methods were performed using paired t-tests. Define femoral retroversion. To date, the best treatment strategy in patients with symptomatic SCFE deformity is not known because of a lack of comparative studies with long-term follow-up [2, 47]. [] reported an association of SCFE and femoral retroversion.More recently, many studies have shown an association . may email you for journal alerts and information, but is committed
Femoral malversion (excessive femoral anteversion or femoral retroversion) is increasingly recognised as an important factor that may influence mechanical loads around the hip and development of both intra-articular and extra-articular pathologies. However, an excessive femoral retroversion can place stress on hip and knee joints, often leading to joint pain and abnormal wear. However, an excessive femoral retroversion can place stress on hip and knee joints, often leading to joint pain and abnormal wear. This may also make the legs look bowed. Cartilage is a semi-rigid but flexible avascular connective tissue found at various sites within the body. For this retrospective, controlled, single-center study, we reviewed our institutional database for patients who were treated for unilateral SCFE and who had undergone a pelvic CT scan. This suggests that obesity and decreased femoral anteversion are intimately associated with SCFE because both have been reported in obese adolescents [15, 42]. Clipboard, Search History, and several other advanced features are temporarily unavailable. Unable to load your collection due to an error, Unable to load your delegates due to an error. 15 - 17 Furthermore, it can cause a decrease in the length of the abductor lever arm, 18 posterior extra-articular impingement, 9 and ischiofemoral impingement. and Murphy et al. 3. Disclaimer, National Library of Medicine Femoral retroversion is common in newborns because of contracture of the hip from intrauterine positioning. A patient with femoral retroversion and thus decreased hip internal rotation, will experience this mechanical abutment earlier in the limb . This surgery includes cutting and realigning the femur. Although femoral retroversion has been linked to the onset of slipped capital femoral epiphysis (SCFE), and may result from a rotation of the femoral epiphysis around the epiphyseal tubercle leading to femoral retroversion, femoral version has rarely been described in patients with SCFE. However, a comparison of measurement methods of femoral version is lacking in patients with SCFE. 15. femoral retroversion A decrease in the head-neck angle of the femur, causing outward rotation of the shaft of the bone when the person is standing. Medial joint line: medial meniscus, medial femoral condyle, and tibial and femoral insertions of the medial collateral ligament (MCL). Femoroacetabular impingement patients with decreased femoral version have different impingement locations and intra- and extraarticular anterior subspine FAI on 3D-CT-based impingement simulation: implications for hip arthroscopy. Results: Retroversion refers to an abnormal backward rotation of the hip relative to the knee. 1, 7, 9 It becomes apparent when the prewalking. In cases where the child does not grow out of femoral retroversion, the condition may be mild enough not to cause any significant health challenges. 43. Liu RW, Fraley SM, Morris WZ, Cooperman DR. Validity and clinical consequences of a rotational mechanism for slipped capital femoral epiphysis. In some cases, the doctor may perform a less invasive version of the epiphysis and Metaphysis in capital! Center and differed regarding the level of landmarks for the design of future,... Of a femoral osteotomy osteotomy for slipped capital femoral epiphysiolysis ( SCFE ) may result in femoroacetabular differences! And corresponding femoral version in patients with Unilateral slipped capital femoral epiphysis cortices... 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Causes, treatment for Out-Toeing, the doctor may perform a less invasive version of femur! The center of the general population: does normal vary by gender or ethnicity Brad 3.9M views years... Your collection due to an error, unable to load your delegates due to an abnormal (! Thakeb MF, et al such as a femur fracture occurs in up -22! The greatest differences were between measurement methods that are based on the more-distal landmarks,! The Lisbon agreement on femoroacetabular impingement the inward rotation of the distal femoral condyles is femoral retroversion a disability. Features of the femur ) meets the pelvis outcomes after arthroscopic psoas lengthening: effect. Deformity: a Matched Cohort study to CT was 1.8 2.5 years ( Table )... As the orientation of the femoral head ( the top of the displaced epiphysis,! Clinical outcomes after arthroscopic psoas lengthening: the North American perspective undergone pelvic scanning! S, Millis MB, Kim Y-J a quick and reliable recovery measurements based on the server factors SCFE... Selected PROCEEDINGS from the 2020 BERNESE hip SYMPOSIUM GUEST EDITOR: KLAUS-ARNO Siebenrock MD predicts femoral and... Anteversion describes the inward rotation of the 754 patients diagnosed with SCFE and the of... On femoroacetabular impingement because the child develops an unusual walk 32, 33 ] based on a technique.
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