Evidence map›Paper›PMID 33643455›Full record

ArticleJournal of children's orthopaedics2021

Hip arthroscopy following slipped capital femoral epiphysis fixation: chondral damage and labral tears findings.

Javier Besomi, Valeria Escobar, Santiago Alvarez, Juanjose Valderrama, Jaime Lopez, Claudio Mella, Joaquin Lara, Claudio Meneses

Open access · goldAbstract read
In one paragraph

Article in Journal of children's orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Pediatric Hip Arthroscopy: a Review of Indications and Treatment Outcomes.Current reviews in musculoskeletal medicine · 2023
    Review
  3. What the papers say.Journal of hip preservation surgery · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Javier BesomiPediatric Orthopaedic Surgery Unit, Orthopaedic Surgery Department and Urgencia Escolar Clinica Alemana de Santiago/Facultad de Medicina Clinica Alemana - Universidad del Desarrollo, Santiago, Chile.
Valeria EscobarPediatric Orthopaedic Surgery Service Hospital Clinico San Borja Arriaran, Santiago, Chile.
Santiago AlvarezPediatric Orthopaedic Surgery Service Hospital Clinico San Borja Arriaran, Santiago, Chile.
Juanjose ValderramaKnee Surgery Unit, Department of Orthopaedic Surgery Hospital Clinico Mutual de Seguridad and Department of Orthopaedic Surgery Clinica Indisa, Santiago, Chile.
Jaime LopezHip and Pelvis Unit, Orthopaedic Surgery Department Clinica Alemana de Santiago - Chile / Facultad de Medicina Clinica Alemana - Universidad del Desarrollo, Santiago, Chile.
Claudio MellaHip and Pelvis Unit, Orthopaedic Surgery Department Clinica Alemana de Santiago - Chile / Facultad de Medicina Clinica Alemana - Universidad del Desarrollo, Santiago, Chile.
Joaquin LaraHip Center Clinica Las Condes, Santiago, Chile.
Claudio MenesesPediatric Orthopaedic Surgery Unit, Orthopaedic Surgery Department and Urgencia Escolar Clinica Alemana de Santiago/Facultad de Medicina Clinica Alemana - Universidad del Desarrollo, Santiago, Chile.
Hospital San Borja Arriarán · CLUniversidad del Desarrollo · CLClínica Alemana · CLClínica Las Condes · CL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study investigated the association between chondrolabral damage and time to arthroscopic surgery for slipped capital femoral epiphysis (SCFE).

methodsThis was a descriptive retrospective study that enrolled patients with SCFE who underwent hip arthroscopy for femoral osteochondroplasty after SCFE fixation. SCFE type, time from SCFE symptom onset or slip fixation surgery to hip arthroscopy and intraarticular arthroscopic findings were recorded. Acetabular chondrolabral damage was evaluated according to the Konan and Outerbridge classification systems. Nested analysis of variance and the chi-squared test were used for statistical analyses.

resultsWe analyzed 22 cases of SCFE in 17 patients (five bilateral). The mean age at the time of hip arthroscopy was 13.6 years-old (8-20), and mean time from SCFE fixation to arthroscopy was 25.1 months (3 weeks to 8 years). Labral frying was present in 20 cases, labral tears in 16 and acetabular chondral damage in 17. The most frequent lesion was type 3 (41%) (Konan classification). Two cases had a grade III and 1 had a grade II acetabular chondral lesion (Outerbridge classification). Positive associations were observed between time from SCFE to hip arthroscopy and hip intraarticular lesions evaluated using Konan (p = 0.004) and Outerbridge (p = 0.000) classification systems. There was no association between SCFE severity (chi-squared = 0.315), stability (chi-squared = 0.558) or temporality (chi-squared = 0.145) type and hip intraarticular lesions.

conclusionA longer time from SCFE symptom onset and fixation to hip arthroscopy is associated with greater acetabular chondrolabral damage. LEVEL OF EVIDENCE: IV.

Indexed as

epiphysiolysisfemoroacetabular impingementhip arthroscopyhip preservation surgeryslipped capital femoral epiphysisslipped upper femoral epiphysis

Identifiers

PMID33643455
PMCPMC7907763
OpenAlexW3128871636

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.