Skip to main content
SpringerLink
Log in

Slipped Capital Femoral Epiphysis

  • Chapter
  • First Online:
Orthopedic Surgery Clerkship

  • 641 Accesses

Abstract

Definition – displacement of the femoral epiphysis on the metaphysis. It affects 1–2% of peripubertal children. The clues to diagnosis are high BMI, typical age, pain, and decreased to absent internal rotation of the hip. It is usually idiopathic, and less than 10% have a definitive etiology – hypothyroidism and renal osteodystrophy. The most important prognostic/severity factor is the ability to bear weight (unstable SCFE). Early complications are osteonecrosis and chondrolysis; the late complications include femoroacetabular impingement and early osteoarthritis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

References

  1. Castro Jr FP, Bennett James T, Kevin D. Epidemiological perspective on prophylactic pinning in patients with unilateral slipped capital femoral epiphysis. J Pediatr Orthop. 2000;20(6):745–8.

    Article  PubMed  Google Scholar 

  2. Kennedy JG, Hresko TM, Kasser JR. Osteonecrosis of the femoral head associated with slipped capital femoral epiphysis. J Paediatr Orthop. 2001;21(2):189–93.

    CAS  Google Scholar 

  3. Popejoy D, Emara K, Birch J. Prediction of contralateral slipped capital femoral epiphysis using the modified Oxford bone age score. J Paediatr Orthop. 2012;32(3):290–4.

    Article  Google Scholar 

  4. Body mass index in patients with slipped capital femoral epiphysis. J Pediatr Orthop. 2006;26(2):197–9.

    Google Scholar 

  5. Loder RT, Dietz FR. What is the best evidence for the treatment of slipped capital femoral epiphysis? J Paediatr Orthop. 32(Suppl 2):S158–65.

    Google Scholar 

  6. Tibor LM, Sink EL. Risks and benefits of the modified Dunn approach for the treatment of moderate to severe slipped capital femoral epiphysis. J Paediatr Orthop. 2013;33(Suppl 1):S99–S102.

    Article  Google Scholar 

  7. Crepeau A, Birbaum M, Have V, et al. Intracapsular pressures after stable slipped capital femoral epiphysis. J Paediatr Orthop. 2015;35(8):e90–2.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopaedic Surgery, Marsashall University School of Medicine, Huntington, WV, USA

    Viorel Raducan MD, FRCS(C)

Authors
  1. Viorel Raducan MD, FRCS(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Viorel Raducan MD, FRCS(C) .

Editor information

Editors and Affiliations

  1. Warren Alpert Medical School, Brown University, Providence, Rhode Island, USA

    Adam E. M. Eltorai

  2. Department of Orthopedic Surgery, Division of Pediatric Surgery, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA

    Craig P. Eberson

  3. Department of Orthopaedic Surgery, Division of Spine Surgery, Rhode Island Hospital, Providence, Rhode Island, USA

    Alan H. Daniels

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing AG

About this chapter

Cite this chapter

Raducan, V. (2017). Slipped Capital Femoral Epiphysis. In: Eltorai, A., Eberson, C., Daniels, A. (eds) Orthopedic Surgery Clerkship. Springer, Cham. https://doi.org/10.1007/978-3-319-52567-9_112

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-52567-9_112

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52565-5

  • Online ISBN: 978-3-319-52567-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation