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Journal of Bone and Joint Surgery - British Volume, Vol 71-B, Issue 1, 33-38
Copyright © 1989 by British Editorial Society of Bone and Joint Surgery

Articles

Hormone status in patients with slipped capital femoral epiphysis

IJ Brenkel, JJ Dias, TG Davies, SJ Iqbal, and PJ Gregg

Department of Orthopaedic Surgery, Leicester Royal Infirmary, England.

In 15 consecutive patients with slipped capital femoral epiphysis we recorded height, weight and skeletal maturity. Sexual maturity was assessed clinically and biochemically, and Harris's hypothesis that there is an increased ratio of serum growth hormone to oestrogen was tested in comparison with 15 age and sex matched controls. We found no difference in skeletal or sexual maturity between the groups, or any overt endocrine abnormality in the patients. However almost half the patients with slipped epiphysis were over the 90th weight percentile, suggesting that mechanical factors such as obesity are more important aetiologically than endocrine abnormalities.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General