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

37 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

Publisher link

10.1016/j.pcl.2014.08.001

Find It

Find It at U of M Libraries

Cite this

@article{65c0ee5e36954c1e902cead83ab0828c,

title = "Slipped Capital Femoral Epiphysis: How to Evaluate with a Review and Update of Treatment",

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",

author = "Georgiadis, {Andrew G.} and Ira Zaltz",

note = "Publisher Copyright: {\textcopyright} 2014 Elsevier Inc.",

year = "2014",

month = jan,

day = "1",

doi = "10.1016/j.pcl.2014.08.001",

language = "English (US)",

volume = "61",

pages = "1119--1135",

journal = "Pediatric Clinics of North America",

issn = "0031-3955",

publisher = "W.B. Saunders Ltd",

number = "6",

}

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

SN - 0031-3955

VL - 61

SP - 1119

EP - 1135

JO - Pediatric Clinics of North America

JF - Pediatric Clinics of North America

IS - 6

ER -

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

Abstract

Bibliographical note

Keywords

Publisher link

Find It

Other files and links

Fingerprint

Cite this