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The Journal of Bone and Joint Surgery 82:142-3 (2000)
© 2000 The Journal of Bone and Joint Surgery, Inc.

Correspondence

Correspondence

Franklin T. Hoaglund, M.D., Lynne S. Steinbach, M.D., David A. Goodman, M.D., John E. Feighan, M.D., Angela D. Smith, M.D., Bruce Latimer, Ph.D., Robert L. Buly, M.D. and Daniel R. Cooperman, M.D.

TO THE EDITOR:

We read with interest "Subclinical Slipped Capital Femoral Epiphysis. Relationship to Osteoarthrosis of the Hip" (79-A: 1489–1497, Oct. 1997), by Goodman et al., which was based on extensive measurement of intact femora from a cohort of skeletons of individuals who were born around the turn of the century. The authors clearly showed that there were more osteophytes in the 8 percent of the specimens that had a so-called subclinical slip deformity than there were in the specimens that did not have this deformity.

To call these specimens osteoarthritic is not consistent with the classic clinical study by Danielsson, who found no arthritic deterioration over ten years in patients who had osteophytes about the hip and a joint space of normal width2. Loss of cartilage, which is necessary to relate osteophytes to osteoarthritis, could not be observed in the study by Goodman et al. because the cartilage . . . [Full Text of this Article]


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