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Slipped Capital Femoral Epiphysis
B.J. Manaster, MD, PhD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Synonyms

            • Slipped femoral capital epiphysis (SCFE)
          • Definitions

            • Displaced Salter I fracture of femoral capital epiphysis, related to sheer stress

          IMAGING

          • General Features

            • Imaging Recommendations

              • Radiographic Findings

                • MR Findings

                  • Nuclear Medicine Findings

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Staging, Grading, & Classification

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      Selected References

                                      1. Albers CE et al: Twelve percent of hips with a primary cam deformity exhibit a slip-like morphology resembling sequelae of slipped capital femoral epiphysis. Clin Orthop Relat Res. 473(4):1212-23, 2015
                                      2. Bellemore JM et al: Biomechanics of slipped capital femoral epiphysis: evaluation of the posterior sloping angle. J Pediatr Orthop. ePub, 2015
                                      3. Kitano T et al: Closed reduction of slipped capital femoral epiphysis: high-risk factor for avascular necrosis. J Pediatr Orthop B. 24(4):281-5, 2015
                                      4. 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
                                      5. Thawrani DP et al: Current practice in the management of slipped capital femoral epiphysis. J Pediatr Orthop. ePub, 2015
                                      6. 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
                                      7. 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
                                      8. CastaƱeda P et al: Functional outcome of stable grade III slipped capital femoral epiphysis treated with in situ pinning. J Pediatr Orthop. 29(5):454-8, 2009
                                      9. Clarke NM et al: Slipped capital femoral epiphysis. BMJ. 339:b4457, 2009
                                      10. de Andrade AC et al: Southwick's angle determination during growth hormone treatment and its usefulness to evaluate risk of epiphysiolysis. J Pediatr Orthop B. 18(1):11-5, 2009
                                      11. Dodds MK et al: Femoroacetabular impingement after slipped capital femoral epiphysis: does slip severity predict clinical symptoms? J Pediatr Orthop. 29(6):535-9, 2009
                                      12. Dwek JR: The hip: MR imaging of uniquely pediatric disorders. Magn Reson Imaging Clin N Am. 17(3):509-20, vi, 2009
                                      13. Gholve PA et al: Slipped capital femoral epiphysis update. Curr Opin Pediatr. 21(1):39-45, 2009
                                      14. 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
                                      15. Scharschmidt T et al: Gene expression in slipped capital femoral epiphysis. Evaluation with laser capture microdissection and quantitative reverse transcription-polymerase chain reaction. J Bone Joint Surg Am. 91(2):366-77, 2009
                                      16. 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
                                      17. Ziebarth K et al: Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop Relat Res. 467(3):704-16, 2009
                                      18. Zupanc O et al: Shear stress in epiphyseal growth plate is a risk factor for slipped capital femoral epiphysis. J Pediatr Orthop. 28(4):444-51, 2008
                                      19. Santili C et al: Southwick's head-shaft angles: normal standards and abnormal values observed in obesity and in patients with epiphysiolysis. J Pediatr Orthop B. 13(4):244-7, 2004
                                      20. Strickler S et al: Tips about hips in children. Int Pediatr. 16(4): 196-205, 2001
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Slipped femoral capital epiphysis (SCFE)
                                              • Definitions

                                                • Displaced Salter I fracture of femoral capital epiphysis, related to sheer stress

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Radiographic Findings

                                                    • MR Findings

                                                      • Nuclear Medicine Findings

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Staging, Grading, & Classification

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Consider

                                                                          Selected References

                                                                          1. Albers CE et al: Twelve percent of hips with a primary cam deformity exhibit a slip-like morphology resembling sequelae of slipped capital femoral epiphysis. Clin Orthop Relat Res. 473(4):1212-23, 2015
                                                                          2. Bellemore JM et al: Biomechanics of slipped capital femoral epiphysis: evaluation of the posterior sloping angle. J Pediatr Orthop. ePub, 2015
                                                                          3. Kitano T et al: Closed reduction of slipped capital femoral epiphysis: high-risk factor for avascular necrosis. J Pediatr Orthop B. 24(4):281-5, 2015
                                                                          4. 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
                                                                          5. Thawrani DP et al: Current practice in the management of slipped capital femoral epiphysis. J Pediatr Orthop. ePub, 2015
                                                                          6. 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
                                                                          7. 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
                                                                          8. CastaƱeda P et al: Functional outcome of stable grade III slipped capital femoral epiphysis treated with in situ pinning. J Pediatr Orthop. 29(5):454-8, 2009
                                                                          9. Clarke NM et al: Slipped capital femoral epiphysis. BMJ. 339:b4457, 2009
                                                                          10. de Andrade AC et al: Southwick's angle determination during growth hormone treatment and its usefulness to evaluate risk of epiphysiolysis. J Pediatr Orthop B. 18(1):11-5, 2009
                                                                          11. Dodds MK et al: Femoroacetabular impingement after slipped capital femoral epiphysis: does slip severity predict clinical symptoms? J Pediatr Orthop. 29(6):535-9, 2009
                                                                          12. Dwek JR: The hip: MR imaging of uniquely pediatric disorders. Magn Reson Imaging Clin N Am. 17(3):509-20, vi, 2009
                                                                          13. Gholve PA et al: Slipped capital femoral epiphysis update. Curr Opin Pediatr. 21(1):39-45, 2009
                                                                          14. 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
                                                                          15. Scharschmidt T et al: Gene expression in slipped capital femoral epiphysis. Evaluation with laser capture microdissection and quantitative reverse transcription-polymerase chain reaction. J Bone Joint Surg Am. 91(2):366-77, 2009
                                                                          16. 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
                                                                          17. Ziebarth K et al: Capital realignment for moderate and severe SCFE using a modified Dunn procedure. Clin Orthop Relat Res. 467(3):704-16, 2009
                                                                          18. Zupanc O et al: Shear stress in epiphyseal growth plate is a risk factor for slipped capital femoral epiphysis. J Pediatr Orthop. 28(4):444-51, 2008
                                                                          19. Santili C et al: Southwick's head-shaft angles: normal standards and abnormal values observed in obesity and in patients with epiphysiolysis. J Pediatr Orthop B. 13(4):244-7, 2004
                                                                          20. Strickler S et al: Tips about hips in children. Int Pediatr. 16(4): 196-205, 2001