The records of ninety-five Negroes with slipped capital femoral epiphyses treated at the Charity Hospital in New Orleans were reviewed in an attempt to assay the validity of the clinical observation of the attending staff at Charity Hospital that the results of treatment of slipped capital femoral epiphysis in Negroes is far more unsatisfactory than the results reported in the orthopaedic literature. Thirty-two of the ninety-five patients had bilateral involvement. In this series of 127 hips, only fifty-nine patients reached the age of eighteen years without incapacitating pain accompanied by degeneration of the joint and limitation of motion. This study indicates that the natural history of the slipped capital femoral epiphysis in a Negro differs from that in a Caucasian in that early degeneration of the joint accompanied by pain and limitation of motion is common, regardless of the method of treatment, and appears to be in direct relationship to the degree of slip.
Copyright 1960 by The Journal of Bone and Joint Surgery, Incorporated