Comparação da razão altura da cabeça/comprimento do colo femoral entre o quadril não acometido de pacientes com epifisiólise proximal unilateral e os quadris de indivíduos sem epifisiólise

• Autor(a) principal: Belangero, Paulo Santoro [UNIFESP]
• Data de Publicação: 2011
• Outros Autores: Bastos, Thiago Amorim [UNIFESP], Linhares, Glauber Kazuo [UNIFESP], Yamane, Patrícia Corey [UNIFESP], Miyagi, Paulo Ivan [UNIFESP], Kuwajima, Sérgio Satoshi [UNIFESP], Ishida, Akira [UNIFESP]
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Institucional da UNIFESP
• dARK ID: ark:/48912/001300000m2k3
• DOI: 10.1590/S0102-36162011000100011
• Texto Completo: http://dx.doi.org/10.1590/S0102-36162011000100011; http://repositorio.unifesp.br/handle/11600/6130
• topic: Epiphysis, Slipped; Femoral Head; Risk Factors; Epífise Deslocada; Cabeça do Fêmur; Fatores de Risco

OBJECTIVE: To compare the head/neck ratio on the contralateral side of patients with a unilateral slipped capital femoral epiphysis (SCFE) with control individuals. METHODS: Seventeen patients who were followed up at the Department of Orthopedics and Traumatology, Federal University of São Paulo, Brazil, between 1985 and 2007, were assessed. The control group consisted of 34 individuals from the same place who were matched for gender and age, with a history of trauma that necessitated pelvic radiography. The femoral head height and femoral neck measurements were made using simple pelvic radiography in accordance with the criteria of Bleck (1983), on both sides in the control group and on the contralateral hip in the patients. Nonparametric statistics were used, with a p-value < 0.05. RESULTS: There was no difference in the distribution of age, gender, body mass index and bone age between the groups. The head/neck ratio on the right and left side in the controls did not differ (p = 0.64). However, the head/neck ratio from the contralateral hip of the patients with SCFE was significantly lower than that of the control group (p = 0.00). CONCLUSION: The significantly lower head/neck ratio in the patients with epiphysiolysis could be indicative of a risk of SCFE.