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J Pediatr Orthop B ; 24(5): 418-24, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26062006

ABSTRACT

Slipped capital femoral epiphysis (SCFE) is an orthopedic pathology in which damage of the growth plate leads to the anterosuperior displacement of the femoral body in respect to the femoral head. Despite being a widely studied disease, its etiology is still unknown. This study was carried out to determine the influence of the physeal-diaphysis angle, body mass, the presence of the perichondrial ring, the type of physical activity, and physeal thickness on SCFE. For this purpose, a finite element analysis of the hip joint and the femur-physis interface was carried out. With the computational model, the Von Mises stresses along the growth plate were calculated and subsequently analyzed statistically to find their correlation with the studied factors. It was found that body mass, the type of physical activity, and the presence of the perichondrial ring had more statistical relevance for the physeal stresses than the physeal-diaphysis angle and the physeal thickness. Thus, our work suggests that changes in growth plate inclination and thickness do not influence the etiology of SCFE.


Subject(s)
Epiphyses , Femur Head , Growth Plate , Slipped Capital Femoral Epiphyses/etiology , Analysis of Variance , Biomechanical Phenomena , Body Weight , Child , Epiphyses/anatomy & histology , Epiphyses/physiology , Femur Head/anatomy & histology , Femur Head/physiology , Finite Element Analysis , Growth Plate/anatomy & histology , Growth Plate/physiology , Hip Joint/anatomy & histology , Hip Joint/diagnostic imaging , Hip Joint/physiology , Humans , Male , Motor Activity , Risk Factors , Tomography, X-Ray Computed
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