Valgus Slipped Capital Femoral Epiphysis (SCFE) Managed by Plaster Cast Immobilization Treatment: Seven Case Reports and Review of The Literature

Abstract

Background: This report provides detailed information with illustrative examples of more than seven patients (eight hips) with one specific rare condition valgus of SCFE. The purpose of this study was to describe and comment on the complete analysis of seven cases of valgus SCFE. Patients and Methods: The research was performed based on the study of the following variables: clinical patient history, symptomatology and physical findings. Admission for anteroposterior (AP) view and Lauenstein [1] frog-leg position for lateral radiograph view of both hips (validated instrument) was performed. A retrospective review maintained data base of patients diagnosed with valgus SCFE was conducted. Patients with radiographically valgus SCFE were identified, confirmed and in the analysis, included. Medical records for clinical features, treatment, and outcomes, were reviewed. Results: Seven patients from the database were indentified: the patient average age at diagnosis was ten years and six months old, within follow up time of thirty six months. All valgus SCFE patients with localized disease with conservative treatment using cast immobilization were managed. Two hips showed evidences of chondrolysis; however just one patient presented juvenile rheumatoid arthritis (JRA) disease diagnosed. Conclusions: The hip joint in our series treated by plaster cast immobilization method to control the progressive valgus displacement of the epiphysis was effective and capable of being justified, and functional. Chondrolysis and its link as a complication were described. This research is justified by the importance and attention that the entity deserves. Keywords: SCFE; Coxa Valga; Plaster Cast Immobilization