ABSTRACT
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.
Subject(s)
Age Determination by Skeleton/methods , Epiphyses, Slipped/physiopathology , Adolescent , Anthropometry , Child , Child, Preschool , Epiphyses, Slipped/diagnostic imaging , Female , Humans , Infant , Infant, Newborn , Male , Pelvic Bones/physiology , Reference Values , Retrospective StudiesSubject(s)
Ankle Joint/surgery , Arthrodesis/methods , External Fixators , Osteoarthritis/surgery , Adult , Ankle Injuries , Bone Screws , Humans , Middle AgedABSTRACT
34 out of 106 patients with funnel chest treated by operation with an average follow-up of 18 years have been reviewed. In 30% of the patients investigated disturbance of the cardiorespratory system were found preoperatively. There was no significant change of the elektrocardigraphic and pulmonal function due to operation. According to the results the indications for operative treatment under functional and cosmetic aspects are discussed.
