Dunn’s Procedure

  • Peter V. Giannoudis
  • Peter Templeton


The majority of cases of slipped upper femoral epiphysis can be managed with in situ cannulated screw fixation perpendicular to the epiphysis.

Severe slips pose a problem for fixation as slips over 50o degrees or 50% are extremely difficult to fix with an in situ cannulated screw.


Guide Wire Image Intensifier Anterior Superior Iliac Spine Cannulated Screw Femoral Nerve Block 
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Further Reading

  1. Dunn DM. The treatment of adolescent slipping of upper femoral epiphysis. J Bone Joint Surg Br. 1964;46:621–9.PubMedGoogle Scholar
  2. Pelillo F, De Sanctis N, Benazzo F, et al. Slipped Upper Femoral Epiphysis (SUFE): to do or not to do in sufe. Hip Int. 2009;19 Suppl 6:S13–7.PubMedGoogle Scholar
  3. Tins B, Cassar-Pullicino V, McCall I. Slipped upper femoral epiphysis: imaging of complications after treatment. Clin Radiol. 2008;63(1):27–40.PubMedCrossRefGoogle Scholar
  4. Uglow MG, Clarke NM. The management of slipped capital femoral epiphysis. J Bone Joint Surg Br. 2004;86(5):631–5.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  1. 1.Academic Department of Trauma and Orthopaedic Surgery, School of MedicineUniversity of LeedsLeedsUK
  2. 2.Department of Trauma and Orthopaedic SurgeryLeeds Teaching Hospitals NHS TrustLeedsUK

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