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Value of the False-Profile View to Identify Screw-Tip Position During Treatment of Slipped Capital Femoral EpiphysisA Case Report
Scott E. Van Valin, MD1; Dennis R. Wenger, MD2
1 Sports Medicine and Orthopedic Center, S.C., 2025 West Oklahoma Avenue, Suite 100, Milwaukee, WI 53215. E-mail address: svanvalinmd@wi.rr.com
2 Pediatric Orthopedic and Scoliosis Center, Children's Hospital-San Diego, 3030 Children's Way, Suite 410, San Diego, CA 92123. E-mail address: orthoedu@chsd.org
View Disclosures and Other Information
Disclosure: The authors did not receive any outside funding or grants in support of their research for or preparation of this work. Neither they nor a member of their immediate families received payments or other benefits or a commitment or agreement to provide such benefits from a commercial entity. No commercial entity paid or directed, or agreed to pay or direct, any benefits to any research fund, foundation, division, center, clinical practice, or other charitable or nonprofit organization with which the authors, or a member of their immediate families, are affiliated or associated.
Investigation performed at Children's Hospital-San Diego, San Diego, California

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2007 Mar 01;89(3):643-648. doi: 10.2106/JBJS.F.00333
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Extract

Slipped capital femoral epiphysis occurs with an incidence of up to ten per 100,000 population, depending on the race of the patient and the geographic region studied1. The treatment for slipped capital femoral epiphysis has evolved with time; currently, orthopaedists in both general and subspecialty practice most commonly use percutaneous in situ screw stabilization to treat the disorder2,3. Because of the posterior displacement of the epiphysis and retroversion of the femoral neck, the classic "laterally based" starting point for insertion of screws (as would be used for operative treatment of femoral neck fractures in adults) needs to be located more anteriorly and superiorly on the lateral-proximal aspect of the femur3,4.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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