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August 1972, Vol 124, No. 2 >
Article | August 1972

The Body Build of Patients With Slipped Capital Femoral Epiphysis FREE

Jennifer L. Kelsey, PhD; Roy M. Acheson, DM, ScD; Kristaps J. Keggi, MD
[+] Author Affiliations

Received for publication July 15, 1971; accepted March 17, 1972.

Reprint requests to 60 College St, New Haven, Conn 06510 (Dr. Kelsey).


Am J Dis Child. 1972;124(2):276-281. doi:10.1001/archpedi.1972.02110140126018.
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References
Comments

Analysis of heights and weights of children with slipped capital femoral epiphysis in Connecticut and in the Southwestern United States indicated that about half of the patients in both areas had weights at or above the 95th percentile for their age and about half had weights at or above the 97th percentile for their height. In Connecticut there was an excess of abnormally tall girls and of tall and short boys; in the Southwest there was an excess of short boys. There was no evidence that tall, thin children are at high risk for slipped epiphysis. The suggestion is made that children who combine overweight with slower than average maturation may be at particularly high risk for slipped epiphysis.

REFERENCES

1 +
Bianco AJ:  Treatment of mild slipping of the capital femoral epiphysis . J Bone Joint Surg 47A:387-396, 1965;.
2 +
Burrows HJ:  Slipped upper femoral epiphysis . J Bone Joint Surg 39B:641-658, 1957;.
3 +
Cleveland M, Bosworth DM, Daly JN, et al:  Study of displaced capital femoral epiphyses . J Bone Joint Surg 33A:955-967, 1951;.
4 +
Cowell HR:  The significance of early diagnosis and treatment of slipping of the capital femoral epiphysis . Clin Orthop 48:89-94, 1966;.
5 +
Ferguson AB, Howorth B:  Slipping of the upper femoral epiphysis . JAMA 97:1867-1872, 1931;.
6 +
Howorth B:  Etiology: Slipping of the capital femoral epiphysis . Clin Orthop 48: 49-52, 1966;.
7 +
Howorth MB:  Slipping of the upper femoral epiphysis . Surg Gynec Obstet 73:723-729, 1941;.
8 +
Howorth MB: A Textbook of Orthopedics . Philadelphia, WB Saunders Co, 1953;.
9 +
Hue G:  La coxa vera de l'adolescence . Rev Orthop 17:397-457, 1930;.
10 +
Jerre T:  A study in slipped upper femoral epiphysis . Acta Orthop Scand , (suppl 6) , pp 1-157, 1960;.
11 +
Kelsey JL:  The incidence and distribution of slipped capital femoral epiphysis in Connecticut . J Chronic Dis 23:567-578, 1971;.
12 +
Kelsey JL, Keggi KJ, Southwick WO:  The incidence and distribution of slipped capital femoral epiphysis in Connecticut and Southwestern United States . J Bone Joint Surg 52A:1203-1216, 1970;.
13 +
Klein A, Joplin RJ, Reidy JA, et al:  Management of the contralateral hip in slipped capital femoral epiphysis . J Bone Joint Surg 35A:81-87, 1953;.
14 +
Korn MW, Slater JD:  Slipping capital femoral epiphysis . New York J Med 66:2248-2256, 1966;.
15 +
Morscher E:  Strength and morphology of growth cartilage under hormonal influence of puberty . Reconstr Surg Traum , vol 10, 1968.
16 +
Ponseti I, Barta CK:  Evaluation of treatment of slipping of the capital femoral epiphysis . Surg Gynec Obstet 86:87-97, 1948;.
17 +
Scott W:  Epiphysiolysis of the upper femur . J Bone Joint Surg 18:743-750, 1936;.
18 +
Sørensen KH:  Slipped upper femoral epiphysis . Acta Orthop Scand 39:499-517, 1968;.
19 +
Southwick WO:  Osteotomy through the lesser trochanter for slipped capital femoral epiphysis . J Bone Joint Surg 49A:807-835, 1967;.
20 +
Ambrose GB, McLaughlin HL:  Slipped upper femoral epiphysis and trauma . J Trauma 1:133-138, 1961;.
21 +
Bianco AJ:  Treatment of slipping of the capital femoral epiphysis . Clin Orthop 48:103-110, 1966;.
22 +
Boyd HB, Ingram AJ, Bourkard HO:  Treatment of slipped femoral epiphysis . Southern Med J 42:551-560, 1949;.
23 +
Brailsford JF:  Slipping of the epiphysis of the head of the femur . Lancet 1:16-19, 1933;.
24 +
Ghormley RK, Fairchild RD:  The diagnosis and treatment of slipped epiphysis . JAMA 114:229-235, 1940;.
25 +
Heyman C:  Treatment of slipping of the upper femoral epiphysis . Surg Gynec Obstet 89:559-565, 1949;.
26 +
Lofgren L:  Slipping of the upper femoral epiphysis, signs of endocrine disturbance, size of sella turcica and two illustrative cases of simultaneous slipping of the upper femoral epiphysis and tumor of the hypophysis . Acta Chir Scand 106:153-165, 1953;.
27 +
MacAusland AR:  Separation of the capital femoral epiphysis . J Bone Joint Surg 17:353-369, 1935;.
28 +
Noble TP, Hauser EP:  Coxa vera . Arch Surg 12:501-538, 1926;.
29 +
Oram V:  Epiphysiolysis of the head of the femur . Acta Orthop Scand 23:100-120, 1953;.
30 +
Pearl AJ, Woodward B, Kelly RP:  Cunieform osteotomy in the treatment of slipped capital femoral epiphysis . J Bone Joint Surg 43A:947-954, 1961;.
31 +
Rennie AM:  The pathology of slipped upper femoral epiphysis . J Bone Joint Surg 42B:273-279, 1960;.
32 +
Taylor VJM:  Displacement of the upper femoral epiphysis . Brit Med J 2:1003-1006, 1932;.
33 +
Wardle EN:  Etiology and treatment of slipped epiphysis of the head of the femur . Brit J Surg 21:313-328, 1933;.
34 +
Wilson PD, Jacobs B, Schecter L:  Slipped capital femoral epiphysis . J Bone Joint Surg 47A:1128-1145, 1965;.
35 +
Reichelt A, Rütt A:  Untersuchgen zur Ätiologie der Epiphysiolysis bzu. Epiphysiolisthesis capitis femoris . Arch Orthop Unfallchir 67:28-38, 1969;.
36 +
Kelsey JL: An Epidemiological Study of Slipped Capital Femoral Epiphysis, thesis. Yale University, New Haven, Conn, 1969.
37 +
Theander G:  Pelvic instability in upper femoral epiphyseolysis . Acta Orthop Scand 32:52-59, 1962;.
38 +
Andrén L, Borgshom K:  Seasonal variation of epiphysiolysis of the hip and possibility of a causal factor . Acta Orthop Scand 28:22-26, 1958;.
39 +
Morscher E:  Endokrinologische Probleme bei Wuchstrumsstörungen in der Orthopadie . Ann Paediat 206:150-163, 1966;.
40 +
Dulligan PJ Jr:  The etiology of slipping of the capital femoral epiphysis . New York J Med 53:2643-2646, 1953;.
41 +
Ellis VH:  Adolescent coxa vera . Lancet 228:1440-1442, 1935;.
42 +
Green WT:  Slipping of the upper femoral epiphysis . Arch Surg 50:19-32, 1945;.
43 +
Klein A, Joplin R, Reidy J: Slipped Capital Femoral Epiphysis . Springfield, Ill, Charles C Thomas Publisher, 1953;, p 96.
44 +
Mulli A:  Zur therapie der epiphyseolysis capitis femoris . Schweiz Med Wschr 68:346-350, 1938;.
45 +
Pomeranz MM, Sloane MF:  Slipping of the proximal epiphysis: Therapeutic results in one hundred cases . Arch Surg 30:607-624, 1935;.
46 +
Soeur R:  Etiology and pathomechanics of slipped upper femoral epiphysis . J Bone Joint Surg 41B:618, 1959;.
47 +
Strange FGS: The Hip . London, William Heinemann Medical Books Ltd, 1965;, pp 102-104.
48 +
Brogden WE:  Review of the end results of 57 cases of slipped upper femoral epiphysis . J Bone Joint Surg 17:179-183, 1935;.
49 +
Cresshaw AM, Milford L (eds): Campbell's Operative Orthopaedics . St. Louis, CV Mosby Co, 1963;, p 921.
50 +
Ferguson AB: Orthopedic Surgery in Infancy and Childhood . Baltimore, Williams & Wilkins Co, 1968;, p 160.
51 +
Shands AR, Rasey BB: Handbook of Orthopedic Surgery . St. Louis, CV Mosby Co, 1967;, p 356.
52 +
Turek SL: Orthopaedics, Principles and Their Applications . Philadelphia, JB Lippincott Co, 1967;, p 697.
53 +
Falkner F:  Some physical growth standards for white North American children . Pediatrics 29:467-474, 1962;.
54 +
Tanner JM:  The evaluation of physical growth and development , in Modern Trends in Paediatrics . London, Butterworth & Co, 1958;, pp 325-344.
55 +
Weech AA:  Signposts on the highway of growth . Amer J Dis Child 88:452-457, 1954;.
56 +
Mayer J: Overweight: Causes, Cost, and Control . Englewood Cliffs, NJ, Prentice Hall, 1968;.
57 +
Height and Weight of Children , United States, series 11, No. (104) . National Center for Health Statistics, 1970;.
58 +
Fröhlich A:  Ein fall von tumor der hypophysis cerebri ohne acromegalie . Wien Klin Rundschau 15:883-886, 1901;.
59 +
Hubble DV: Paediatric Endocrinology . Oxford, Blackwell Scientific Publications, 1969;, p 88.
60 +
Acheson RM:  The oxford method of assessing skeletal maturity . Clin Orthop 10:19-39, 1957;.
61 +
Acheson RM, Dupertuis CW:  The relationship between physique and rate of skeletal maturation in boys . Hum Biol 29:167-193, 1957;.
62 +
Bruch H:  Obesity in childhood: I. Physical growth and development of obese children . Amer J Dis Child 58:457-484, 1939;.
63 +
Forbes GB:  Lean body mass and fat in obese children . Pediatrics 34:308-314, 1964;.
64 +
Nobécourt P:  Obésité et puberté . Presse Med 46:449-452, 1938;.
65 +
Quaade F: Obese Children—Anthropology and Environment . Copenhagen, Danish Science Press, Ltd, 1955;.
66 +
Wolff OH:  Obesity in childhood . Quart J Med 24:109-123, 1955;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Bianco AJ:  Treatment of mild slipping of the capital femoral epiphysis . J Bone Joint Surg 47A:387-396, 1965;.
2 +
Burrows HJ:  Slipped upper femoral epiphysis . J Bone Joint Surg 39B:641-658, 1957;.
3 +
Cleveland M, Bosworth DM, Daly JN, et al:  Study of displaced capital femoral epiphyses . J Bone Joint Surg 33A:955-967, 1951;.
4 +
Cowell HR:  The significance of early diagnosis and treatment of slipping of the capital femoral epiphysis . Clin Orthop 48:89-94, 1966;.
5 +
Ferguson AB, Howorth B:  Slipping of the upper femoral epiphysis . JAMA 97:1867-1872, 1931;.
6 +
Howorth B:  Etiology: Slipping of the capital femoral epiphysis . Clin Orthop 48: 49-52, 1966;.
7 +
Howorth MB:  Slipping of the upper femoral epiphysis . Surg Gynec Obstet 73:723-729, 1941;.
8 +
Howorth MB: A Textbook of Orthopedics . Philadelphia, WB Saunders Co, 1953;.
9 +
Hue G:  La coxa vera de l'adolescence . Rev Orthop 17:397-457, 1930;.
10 +
Jerre T:  A study in slipped upper femoral epiphysis . Acta Orthop Scand , (suppl 6) , pp 1-157, 1960;.
11 +
Kelsey JL:  The incidence and distribution of slipped capital femoral epiphysis in Connecticut . J Chronic Dis 23:567-578, 1971;.
12 +
Kelsey JL, Keggi KJ, Southwick WO:  The incidence and distribution of slipped capital femoral epiphysis in Connecticut and Southwestern United States . J Bone Joint Surg 52A:1203-1216, 1970;.
13 +
Klein A, Joplin RJ, Reidy JA, et al:  Management of the contralateral hip in slipped capital femoral epiphysis . J Bone Joint Surg 35A:81-87, 1953;.
14 +
Korn MW, Slater JD:  Slipping capital femoral epiphysis . New York J Med 66:2248-2256, 1966;.
15 +
Morscher E:  Strength and morphology of growth cartilage under hormonal influence of puberty . Reconstr Surg Traum , vol 10, 1968.
16 +
Ponseti I, Barta CK:  Evaluation of treatment of slipping of the capital femoral epiphysis . Surg Gynec Obstet 86:87-97, 1948;.
17 +
Scott W:  Epiphysiolysis of the upper femur . J Bone Joint Surg 18:743-750, 1936;.
18 +
Sørensen KH:  Slipped upper femoral epiphysis . Acta Orthop Scand 39:499-517, 1968;.
19 +
Southwick WO:  Osteotomy through the lesser trochanter for slipped capital femoral epiphysis . J Bone Joint Surg 49A:807-835, 1967;.
20 +
Ambrose GB, McLaughlin HL:  Slipped upper femoral epiphysis and trauma . J Trauma 1:133-138, 1961;.
21 +
Bianco AJ:  Treatment of slipping of the capital femoral epiphysis . Clin Orthop 48:103-110, 1966;.
22 +
Boyd HB, Ingram AJ, Bourkard HO:  Treatment of slipped femoral epiphysis . Southern Med J 42:551-560, 1949;.
23 +
Brailsford JF:  Slipping of the epiphysis of the head of the femur . Lancet 1:16-19, 1933;.
24 +
Ghormley RK, Fairchild RD:  The diagnosis and treatment of slipped epiphysis . JAMA 114:229-235, 1940;.
25 +
Heyman C:  Treatment of slipping of the upper femoral epiphysis . Surg Gynec Obstet 89:559-565, 1949;.
26 +
Lofgren L:  Slipping of the upper femoral epiphysis, signs of endocrine disturbance, size of sella turcica and two illustrative cases of simultaneous slipping of the upper femoral epiphysis and tumor of the hypophysis . Acta Chir Scand 106:153-165, 1953;.
27 +
MacAusland AR:  Separation of the capital femoral epiphysis . J Bone Joint Surg 17:353-369, 1935;.
28 +
Noble TP, Hauser EP:  Coxa vera . Arch Surg 12:501-538, 1926;.
29 +
Oram V:  Epiphysiolysis of the head of the femur . Acta Orthop Scand 23:100-120, 1953;.
30 +
Pearl AJ, Woodward B, Kelly RP:  Cunieform osteotomy in the treatment of slipped capital femoral epiphysis . J Bone Joint Surg 43A:947-954, 1961;.
31 +
Rennie AM:  The pathology of slipped upper femoral epiphysis . J Bone Joint Surg 42B:273-279, 1960;.
32 +
Taylor VJM:  Displacement of the upper femoral epiphysis . Brit Med J 2:1003-1006, 1932;.
33 +
Wardle EN:  Etiology and treatment of slipped epiphysis of the head of the femur . Brit J Surg 21:313-328, 1933;.
34 +
Wilson PD, Jacobs B, Schecter L:  Slipped capital femoral epiphysis . J Bone Joint Surg 47A:1128-1145, 1965;.
35 +
Reichelt A, Rütt A:  Untersuchgen zur Ätiologie der Epiphysiolysis bzu. Epiphysiolisthesis capitis femoris . Arch Orthop Unfallchir 67:28-38, 1969;.
36 +
Kelsey JL: An Epidemiological Study of Slipped Capital Femoral Epiphysis, thesis. Yale University, New Haven, Conn, 1969.
37 +
Theander G:  Pelvic instability in upper femoral epiphyseolysis . Acta Orthop Scand 32:52-59, 1962;.
38 +
Andrén L, Borgshom K:  Seasonal variation of epiphysiolysis of the hip and possibility of a causal factor . Acta Orthop Scand 28:22-26, 1958;.
39 +
Morscher E:  Endokrinologische Probleme bei Wuchstrumsstörungen in der Orthopadie . Ann Paediat 206:150-163, 1966;.
40 +
Dulligan PJ Jr:  The etiology of slipping of the capital femoral epiphysis . New York J Med 53:2643-2646, 1953;.
41 +
Ellis VH:  Adolescent coxa vera . Lancet 228:1440-1442, 1935;.
42 +
Green WT:  Slipping of the upper femoral epiphysis . Arch Surg 50:19-32, 1945;.
43 +
Klein A, Joplin R, Reidy J: Slipped Capital Femoral Epiphysis . Springfield, Ill, Charles C Thomas Publisher, 1953;, p 96.
44 +
Mulli A:  Zur therapie der epiphyseolysis capitis femoris . Schweiz Med Wschr 68:346-350, 1938;.
45 +
Pomeranz MM, Sloane MF:  Slipping of the proximal epiphysis: Therapeutic results in one hundred cases . Arch Surg 30:607-624, 1935;.
46 +
Soeur R:  Etiology and pathomechanics of slipped upper femoral epiphysis . J Bone Joint Surg 41B:618, 1959;.
47 +
Strange FGS: The Hip . London, William Heinemann Medical Books Ltd, 1965;, pp 102-104.
48 +
Brogden WE:  Review of the end results of 57 cases of slipped upper femoral epiphysis . J Bone Joint Surg 17:179-183, 1935;.
49 +
Cresshaw AM, Milford L (eds): Campbell's Operative Orthopaedics . St. Louis, CV Mosby Co, 1963;, p 921.
50 +
Ferguson AB: Orthopedic Surgery in Infancy and Childhood . Baltimore, Williams & Wilkins Co, 1968;, p 160.
51 +
Shands AR, Rasey BB: Handbook of Orthopedic Surgery . St. Louis, CV Mosby Co, 1967;, p 356.
52 +
Turek SL: Orthopaedics, Principles and Their Applications . Philadelphia, JB Lippincott Co, 1967;, p 697.
53 +
Falkner F:  Some physical growth standards for white North American children . Pediatrics 29:467-474, 1962;.
54 +
Tanner JM:  The evaluation of physical growth and development , in Modern Trends in Paediatrics . London, Butterworth & Co, 1958;, pp 325-344.
55 +
Weech AA:  Signposts on the highway of growth . Amer J Dis Child 88:452-457, 1954;.
56 +
Mayer J: Overweight: Causes, Cost, and Control . Englewood Cliffs, NJ, Prentice Hall, 1968;.
57 +
Height and Weight of Children , United States, series 11, No. (104) . National Center for Health Statistics, 1970;.
58 +
Fröhlich A:  Ein fall von tumor der hypophysis cerebri ohne acromegalie . Wien Klin Rundschau 15:883-886, 1901;.
59 +
Hubble DV: Paediatric Endocrinology . Oxford, Blackwell Scientific Publications, 1969;, p 88.
60 +
Acheson RM:  The oxford method of assessing skeletal maturity . Clin Orthop 10:19-39, 1957;.
61 +
Acheson RM, Dupertuis CW:  The relationship between physique and rate of skeletal maturation in boys . Hum Biol 29:167-193, 1957;.
62 +
Bruch H:  Obesity in childhood: I. Physical growth and development of obese children . Amer J Dis Child 58:457-484, 1939;.
63 +
Forbes GB:  Lean body mass and fat in obese children . Pediatrics 34:308-314, 1964;.
64 +
Nobécourt P:  Obésité et puberté . Presse Med 46:449-452, 1938;.
65 +
Quaade F: Obese Children—Anthropology and Environment . Copenhagen, Danish Science Press, Ltd, 1955;.
66 +
Wolff OH:  Obesity in childhood . Quart J Med 24:109-123, 1955;.

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