Evidence map›Paper›PMID 42469707›Full record

ArticleBMC musculoskeletal disorders2026

Acetabular posterior wall morphology in slipped capital femoral epiphysis: a three-dimensional and true axial computed tomography matched-cohort study.

Łukasz Wiktor, Ryszard Tomaszewski, Piotr Fabrowicz, Maria Damps

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Article in BMC musculoskeletal disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Łukasz WiktorDepartment of Trauma and Orthopaedic Surgery, Upper Silesian Children's Health Centre, Medical University of Silesia, Katowice, Poland. wiktor.ort@gmail.com.ORCID https://orcid.org/0000-0002-5777-3835
Ryszard TomaszewskiDepartment of Trauma and Orthopaedic Surgery, Upper Silesian Children's Health Centre, Medical University of Silesia, Katowice, Poland.
Piotr FabrowiczDepartment of Imaging Diagnostics and Interventional Radiology, Upper Silesian Children's Health Centre, Katowice, Poland.
Maria DampsDepartment of Anaesthesiology and Intensive Care, Upper Silesian Child Health Centre, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Katowice, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsComparative assessment of both hip joints in patients with slipped capital femoral epiphysis (SCFE) was performed relative to the control group.

methodsWe created 3D CT reconstructions of the acetabulum in 27 hips with SCFE, 21 unaffected contralateral hips, and 108 hips of the age- and sex-matched non-SCFE control group. Following measurements performed using true axial CT scans were assessed: acetabular version angle (AVA°), posterior sector acetabular angle (PASA°), posterior wall angle (PWA°), and acetabular roofing percentage.

resultsBased on the morphology of the posterior acetabular wall, we found three type I (closed) and 24 type II (open) hips in the SCFE group. We noticed a flattening of the posterosuperior quadrant of the acetabulum in 66.66% (18 out of 27 hips) of the hips affected by SCFE. For both SCFE (p = 0.004) and unaffected hips (p = 0.009), the AVA at the proximal hip level was significantly lower than in the control group. We observed no significant between-group differences in PASA (p > 0.05). The mean values of the PWA for the SCFE group were significantly higher than in the contralateral hip (p = 0.025) and control group (p = 0.018). None of the patients in our cohort met the criteria for hip dysplasia based on the assessed Tönnis angle (TA) and lateral centre-edge angle (LCEA).

conclusionsHips with SCFE tend to be flattened at the posterosuperior quadrant and have higher PWA values. PWA better defines the morphology of the posterior wall than the PASA. As the PWA angle increases, the mechanical shearing forces at the femoral physis may increase; however, this requires further research.

Indexed as

AcetabulumImaging, Three-DimensionalSlipped Capital Femoral EpiphysesTomography, X-Ray ComputedAdolescentCase-Control StudiesChildCohort StudiesFemaleHumansMaleRetrospective StudiesAcetabular anteversionAcetabular posterior wallAcetabulumChildrenSlipped capital femoral epiphysis (SCFE)

Identifiers

PMID42469707
PMCPMC13656532

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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.