Salter-Harris I fracture of subcapital femoral physis due to chronic stress of weight bearing
SCFE term is not used for acute trauma
Capital femoral epiphysis = femoral head
Subcapital physis = proximal femoral growth plate
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Samelis PV et al: Factors affecting outcomes of slipped capital femoral epiphysis. Cureus. 12(2):e6883, 2020
Balch Samora J et al: MRI in idiopathic, stable, slipped capital femoral epiphysis: evaluation of contralateral pre-slip. J Child Orthop. 12(5):454-60, 2018
Hesper T et al: Imaging modalities in patients with slipped capital femoral epiphysis. J Child Orthop. 11(2):99-106, 2017
Hosseinzadeh P et al: Delay in the diagnosis of stable slipped capital femoral epiphysis. J Pediatr Orthop. 37(1):e19-22, 2017
Boyle MJ et al: The alpha angle as a predictor of contralateral slipped capital femoral epiphysis. J Child Orthop. 10(3):201-7, 2016
Roaten J et al: Complications related to the treatment of slipped capital femoral epiphysis. Orthop Clin North Am. 47(2):405-13, 2016
Thawrani DP et al: Current practice in the management of slipped capital femoral epiphysis. J Pediatr Orthop. 36(3):27-37, 2016
Whyte N et al: Slipped capital femoral epiphysis in atypical patients. Pediatr Ann. 45(4):e128-34, 2016
Clement ND et al: Slipped capital femoral epiphysis: is it worth the risk and cost not to offer prophylactic fixation of the contralateral hip? Bone Joint J. 97-B(10):1428-34, 2015
Nectoux E et al: Evolution of slipped capital femoral epiphysis after in situ screw fixation at a mean 11 years' follow-up: a 222 case series. Orthop Traumatol Surg Res. 101(1):51-4, 2015
Novais EN et al: Modified Dunn procedure is superior to in situ pinning for short-term clinical and radiographic improvement in severe stable SCFE. Clin Orthop Relat Res. 473(6):2108-17, 2015
Abu Amara S et al: Surgery for slipped capital femoral epiphysis in adolescents. Orthop Traumatol Surg Res. 100(1 Suppl):S157-67, 2014
Georgiadis AG et al: Slipped capital femoral epiphysis: how to evaluate with a review and update of treatment. Pediatr Clin North Am. 61(6):1119-35, 2014
Peck K et al: Slipped capital femoral epiphysis: what's new? Orthop Clin North Am. 45(1):77-86, 2014
Wenger DR et al: Acute, unstable, slipped capital femoral epiphysis: is there a role for in situ fixation? J Pediatr Orthop. 34 Suppl 1:S11-7, 2014
Monazzam S et al: Multiplanar CT assessment of femoral head displacement in slipped capital femoral epiphysis. Pediatr Radiol. 43(12):1599-605, 2013
Westhoff B et al: Radiological outcome and gait function of SCFE patients after growth arrest. J Child Orthop. 7(6):507-12, 2013
Witbreuk M et al: Slipped capital femoral epiphysis and its association with endocrine, metabolic and chronic diseases: a systematic review of the literature. J Child Orthop. 7(3):213-23, 2013
Novais EN et al: Slipped capital femoral epiphysis: prevalence, pathogenesis, and natural history. Clin Orthop Relat Res. 470(12):3432-8, 2012
Venkatadass K et al: Valgus slipped capital femoral epiphysis: report of two cases and a comprehensive review of literature. J Pediatr Orthop B. 20(5):291-4, 2011
Zilkens C et al: Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC), after slipped capital femoral epiphysis. Eur J Radiol. 79(3):400-6, 2011
Miese FR et al: MRI morphometry, cartilage damage and impaired function in the follow-up after slipped capital femoral epiphysis. Skeletal Radiol. 39(6):533-41, 2010
Sankar WN et al: The unstable slipped capital femoral epiphysis: risk factors for osteonecrosis. J Pediatr Orthop. 30(6):544-8, 2010
Shank CF et al: Valgus slipped capital femoral epiphysis: prevalence, presentation, and treatment options. J Pediatr Orthop. 30(2):140-6, 2010
Green DW et al: A modification of Klein's line to improve sensitivity of the anterior-posterior radiograph in slipped capital femoral epiphysis. J Pediatr Orthop. 29(5):449-53, 2009
Tins B et al: The role of pre-treatment MRI in established cases of slipped capital femoral epiphysis. Eur J Radiol. 70(3):570-8, 2009
Sasaki M et al: Anterior slip of the capital femoral epiphysis. A case report. J Bone Joint Surg Am. 89(4):855-8, 2007
Billing L et al: Reliable x-ray diagnosis of slipped capital femoral epiphysis by combining the conventional and a new simplified geometrical method. Pediatr Radiol. 32(6):423-30, 2002
Futami T et al: Sequential magnetic resonance imaging in slipped capital femoral epiphysis: assessment of preslip in the contralateral hip. J Pediatr Orthop B. 10(4):298-303, 2001
Kennedy JG et al: Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 21(2):189-93, 2001
Hansson G et al: Long-term results after nailing in situ of slipped upper femoral epiphysis. A 30-year follow-up of 59 hips. J Bone Joint Surg Br. 80(1):70-7, 1998
Boles CA et al: Slipped capital femoral epiphysis. Radiographics. 17(4):809-23, 1997
Lubicky JP: Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis. J Pediatr Orthop B. 5(3):162-7, 1996
Towbin R et al: Neonatal traumatic proximal femoral epiphysiolysis. Pediatrics. 63(3):456-9, 1979
Related Anatomy
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Related Differential Diagnoses
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Clinical Issues
TERMINOLOGY
Abbreviations
Slipped capital femoral epiphysis (SCFE)
Definitions
Salter-Harris I fracture of subcapital femoral physis due to chronic stress of weight bearing
SCFE term is not used for acute trauma
Capital femoral epiphysis = femoral head
Subcapital physis = proximal femoral growth plate
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Microscopic Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
Samelis PV et al: Factors affecting outcomes of slipped capital femoral epiphysis. Cureus. 12(2):e6883, 2020
Balch Samora J et al: MRI in idiopathic, stable, slipped capital femoral epiphysis: evaluation of contralateral pre-slip. J Child Orthop. 12(5):454-60, 2018
Hesper T et al: Imaging modalities in patients with slipped capital femoral epiphysis. J Child Orthop. 11(2):99-106, 2017
Hosseinzadeh P et al: Delay in the diagnosis of stable slipped capital femoral epiphysis. J Pediatr Orthop. 37(1):e19-22, 2017
Boyle MJ et al: The alpha angle as a predictor of contralateral slipped capital femoral epiphysis. J Child Orthop. 10(3):201-7, 2016
Roaten J et al: Complications related to the treatment of slipped capital femoral epiphysis. Orthop Clin North Am. 47(2):405-13, 2016
Thawrani DP et al: Current practice in the management of slipped capital femoral epiphysis. J Pediatr Orthop. 36(3):27-37, 2016
Whyte N et al: Slipped capital femoral epiphysis in atypical patients. Pediatr Ann. 45(4):e128-34, 2016
Clement ND et al: Slipped capital femoral epiphysis: is it worth the risk and cost not to offer prophylactic fixation of the contralateral hip? Bone Joint J. 97-B(10):1428-34, 2015
Nectoux E et al: Evolution of slipped capital femoral epiphysis after in situ screw fixation at a mean 11 years' follow-up: a 222 case series. Orthop Traumatol Surg Res. 101(1):51-4, 2015
Novais EN et al: Modified Dunn procedure is superior to in situ pinning for short-term clinical and radiographic improvement in severe stable SCFE. Clin Orthop Relat Res. 473(6):2108-17, 2015
Abu Amara S et al: Surgery for slipped capital femoral epiphysis in adolescents. Orthop Traumatol Surg Res. 100(1 Suppl):S157-67, 2014
Georgiadis AG et al: Slipped capital femoral epiphysis: how to evaluate with a review and update of treatment. Pediatr Clin North Am. 61(6):1119-35, 2014
Peck K et al: Slipped capital femoral epiphysis: what's new? Orthop Clin North Am. 45(1):77-86, 2014
Wenger DR et al: Acute, unstable, slipped capital femoral epiphysis: is there a role for in situ fixation? J Pediatr Orthop. 34 Suppl 1:S11-7, 2014
Monazzam S et al: Multiplanar CT assessment of femoral head displacement in slipped capital femoral epiphysis. Pediatr Radiol. 43(12):1599-605, 2013
Westhoff B et al: Radiological outcome and gait function of SCFE patients after growth arrest. J Child Orthop. 7(6):507-12, 2013
Witbreuk M et al: Slipped capital femoral epiphysis and its association with endocrine, metabolic and chronic diseases: a systematic review of the literature. J Child Orthop. 7(3):213-23, 2013
Novais EN et al: Slipped capital femoral epiphysis: prevalence, pathogenesis, and natural history. Clin Orthop Relat Res. 470(12):3432-8, 2012
Venkatadass K et al: Valgus slipped capital femoral epiphysis: report of two cases and a comprehensive review of literature. J Pediatr Orthop B. 20(5):291-4, 2011
Zilkens C et al: Delayed gadolinium-enhanced magnetic resonance imaging of cartilage (dGEMRIC), after slipped capital femoral epiphysis. Eur J Radiol. 79(3):400-6, 2011
Miese FR et al: MRI morphometry, cartilage damage and impaired function in the follow-up after slipped capital femoral epiphysis. Skeletal Radiol. 39(6):533-41, 2010
Sankar WN et al: The unstable slipped capital femoral epiphysis: risk factors for osteonecrosis. J Pediatr Orthop. 30(6):544-8, 2010
Shank CF et al: Valgus slipped capital femoral epiphysis: prevalence, presentation, and treatment options. J Pediatr Orthop. 30(2):140-6, 2010
Green DW et al: A modification of Klein's line to improve sensitivity of the anterior-posterior radiograph in slipped capital femoral epiphysis. J Pediatr Orthop. 29(5):449-53, 2009
Tins B et al: The role of pre-treatment MRI in established cases of slipped capital femoral epiphysis. Eur J Radiol. 70(3):570-8, 2009
Sasaki M et al: Anterior slip of the capital femoral epiphysis. A case report. J Bone Joint Surg Am. 89(4):855-8, 2007
Billing L et al: Reliable x-ray diagnosis of slipped capital femoral epiphysis by combining the conventional and a new simplified geometrical method. Pediatr Radiol. 32(6):423-30, 2002
Futami T et al: Sequential magnetic resonance imaging in slipped capital femoral epiphysis: assessment of preslip in the contralateral hip. J Pediatr Orthop B. 10(4):298-303, 2001
Kennedy JG et al: Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Pediatr Orthop. 21(2):189-93, 2001
Hansson G et al: Long-term results after nailing in situ of slipped upper femoral epiphysis. A 30-year follow-up of 59 hips. J Bone Joint Surg Br. 80(1):70-7, 1998
Boles CA et al: Slipped capital femoral epiphysis. Radiographics. 17(4):809-23, 1997
Lubicky JP: Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis. J Pediatr Orthop B. 5(3):162-7, 1996
Towbin R et al: Neonatal traumatic proximal femoral epiphysiolysis. Pediatrics. 63(3):456-9, 1979
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