TY - JOUR
T1 - Slipped Capital Femoral Epiphysis
T2 - How to Evaluate with a Review and Update of Treatment
AU - Georgiadis, Andrew G.
AU - Zaltz, Ira
PY - 2014/1/1
Y1 - 2014/1/1
N2 - Slipped capital femoral epiphysis (SCFE) involves displacement of the proximal femoral metaphysis relative to a fixed epiphysis, usually during a period of rapid growth and unique physeal susceptibility. Patients have characteristic clinical, histologic, and radiologic features. Several clinical signs and medical diagnoses should prompt radiologic and laboratory workup. Limp or hip or knee pain in a patient 10 to 16 years old should include SCFE in the differential. If confirmed, appropriate treatment involves proximal femoral physeal stabilization and/or realignment. The optimal surgical treatment of severe SCFE and its late sequela remain an evolving and controversial subject.
AB - Slipped capital femoral epiphysis (SCFE) involves displacement of the proximal femoral metaphysis relative to a fixed epiphysis, usually during a period of rapid growth and unique physeal susceptibility. Patients have characteristic clinical, histologic, and radiologic features. Several clinical signs and medical diagnoses should prompt radiologic and laboratory workup. Limp or hip or knee pain in a patient 10 to 16 years old should include SCFE in the differential. If confirmed, appropriate treatment involves proximal femoral physeal stabilization and/or realignment. The optimal surgical treatment of severe SCFE and its late sequela remain an evolving and controversial subject.
KW - Avascular necrosis
KW - Chondrolysis
KW - Dunn osteotomy
KW - Hip disorders, pediatric
KW - Medial circumflex femoral artery
KW - Osteonecrosis
KW - SCFE
KW - Slipped capital femoral epiphysis
UR - http://www.scopus.com/inward/record.url?scp=84922392147&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84922392147&partnerID=8YFLogxK
U2 - 10.1016/j.pcl.2014.08.001
DO - 10.1016/j.pcl.2014.08.001
M3 - Article
C2 - 25439015
AN - SCOPUS:84922392147
VL - 61
SP - 1119
EP - 1135
JO - Pediatric Clinics of North America
JF - Pediatric Clinics of North America
SN - 0031-3955
IS - 6
ER -