Diagnostic imaging of the early slipped capital femoral epiphysis

Gian Michele Magnano, Giorgio Lucigrai, Claudio De Filippi, Alessandro Castriota Scanderberg, Enzo Pacciani, Paolo Tomá

Research output: Contribution to journalArticle

Abstract

Introduction. Early slipped capital femoral epiphysis (ESCFE) can be treated surgically, with excellent results, if it is diagnosed in its inital stage; however, the rate of late or missed diagnoses remains surprisingly high. Purpose. We compared radiography, US and MR sensitivity in ESCFE diagnosis. Material and methods. We examined 21 symptomatic overweight patients (15 boys and 6 girls) aged 9 to 15 years with anteroposterior radiographs; frog leg images were not acquired in 3 cases only. US was performed in 19 cases and the images acquired with 5-7.5 MHz probes on the sagittal plane parallel to the femoral neck. MRI was performed in 9 cases, with coronal and sagittal T1 SE and T2* GE images. Results. Our sensitivity rates were 66% for anteroposterior radiography (6 false negatives), 80% for combined anteroposterior and frog leg images (3 false negatives), 95% for US (1 false negative) and 88% for MRI (1 false negative). Discussion and conclusion. We believe that US is the method of choice in ESCFE diagnosis; if it is negative, but pain persists, MRI should be performed.

Original languageEnglish
Pages (from-to)16-20
Number of pages5
JournalRadiologia Medica
Volume95
Issue number1-2
Publication statusPublished - Jan 1998

Keywords

  • ESCFE
  • MRI
  • US - ESCFE

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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    Magnano, G. M., Lucigrai, G., De Filippi, C., Castriota Scanderberg, A., Pacciani, E., & Tomá, P. (1998). Diagnostic imaging of the early slipped capital femoral epiphysis. Radiologia Medica, 95(1-2), 16-20.