Slipped Capital Femoral Epiphysis: How to Evaluate with a Review and Update of Treatment

Andrew G. Georgiadis; Ira Zaltz

doi:10.1016/j.pcl.2014.08.001

Slipped Capital Femoral Epiphysis: How to Evaluate with a Review and Update of Treatment

Andrew G. Georgiadis, Ira Zaltz

Research output: Contribution to journal › Article › peer-review

43 Scopus citations

Abstract

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.

Original language	English (US)
Pages (from-to)	1119-1135
Number of pages	17
Journal	Pediatric Clinics of North America
Volume	61
Issue number	6
DOIs	https://doi.org/10.1016/j.pcl.2014.08.001
State	Published - Jan 1 2014
Externally published	Yes

Bibliographical note

Publisher Copyright:
© 2014 Elsevier Inc.

Keywords

Avascular necrosis
Chondrolysis
Dunn osteotomy
Hip disorders, pediatric
Medial circumflex femoral artery
Osteonecrosis
SCFE
Slipped capital femoral epiphysis

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10.1016/j.pcl.2014.08.001

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abstract = "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.",

keywords = "Avascular necrosis, Chondrolysis, Dunn osteotomy, Hip disorders, pediatric, Medial circumflex femoral artery, Osteonecrosis, SCFE, Slipped capital femoral epiphysis",

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AU - Zaltz, Ira

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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.

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KW - Dunn osteotomy

KW - Hip disorders, pediatric

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KW - Osteonecrosis

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Slipped Capital Femoral Epiphysis: How to Evaluate with a Review and Update of Treatment

Abstract

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