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SCFE/LCP/FAI peds adolescent hip problems

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2 papers 100 to 500 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
Jeffrey J Nepple, Heidi Prather, Robert T Trousdale, John C Clohisy, Paul E Beaulé, Siôn Glyn-Jones, Young-Jo Kim
The diagnosis of femoroacetabular impingement (FAI) syndrome is made based on a combination of clinical symptoms, physical examination findings, and imaging studies. A detailed assessment of each of these components is important to differentiate FAI from other intra- and extra-articular hip disorders. Clinical and physical examination findings must be viewed collectively because no single pathognomonic finding exists for FAI. Nevertheless, common components of the history and physical examination do suggest a diagnosis of FAI...
2013: Journal of the American Academy of Orthopaedic Surgeons
Michael B Millis, Cara L Lewis, Perry L Schoenecker, John C Clohisy
Problematic femoroacetabular impingement frequently is seen following Legg-Calvé-Perthes disease (LCPD) in young children and following slipped capital femoral epiphysis (SCFE) in older children and adolescents. Although symptoms may be mild in adolescents and young adults, chondral damage following LCPD and SCFE deformity is cumulative and irreversible, which has led to a recent emphasis on the consideration of early treatment. The surgical dislocation approach and improved MRI and three-dimensional CT have revealed common patterns of deformity and structural damage...
2013: Journal of the American Academy of Orthopaedic Surgeons
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