Arch Chir Neerl. ; THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS. BOUMAN FG. PMID: ; [Indexed for MEDLINE]. Ugeskr Laeger. Feb 26;(9) [Delayed diagnosis of epiphysiolysis capitis femoris]. [Article in Danish]. Søballe K(1), Juhl M, Høgh JP. Z Orthop Ihre Grenzgeb. Nov-Dec;(6) [“Recurrent” epiphysiolysis capitis femoris–need for simultaneous stabilization of both hip joints].

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SCFEs are most common in adolescents 11—15 years of age, [7] and affects boys more frequently than girls male 2: Clinical Synopsis Toggle Dropdown. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. Associated with decreased femoral anteversion and decreased femoral neck-shaft angle. W B Saunders Co. Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition?

Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Which of the following is associated with the radiographic abnormality seen in Figure B?

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

If a significant deformity is present, then osteotomies and even joint replacement may be required. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? The fracture occurs at the hypertrophic zone of the physeal cartilage.


The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. He denies pain in the right leg. The knee is investigated and found to be normal.

Pinning the unaffected side prophylactically is not recommended for most patients, but may be appropriate if a second SCFE is very likely. Case 5 Case 5. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing.

The initial radiograph is shown in Figure A. The risk of reducing this fracture includes the disruption of the blood supply to the bone. Failure to treat a SCFE may lead to: OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine. Stress on the hip causes the epiphysis to move posteriorly and medially. The severity of the disease can be measured using the Southwick angle.

Slipped femoral capital epiphysis was found in 1 or more first-degree relatives. Core Tested Community All. The most characteristic clinical finding was czpitis internal rotation of the affected hip. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Often the range of motion in the hip is restricted in internal rotationabductionand flexion. In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration.


In 65 percent of cases of SCFE, the person is over the 95th percentile for weight. Obesity is a significant risk factor. From Wikipedia, the free encyclopedia. Clinical Orthopaedics and Related Research.

His pain has significantly worsened over the past week. We are determined to keep this website freely accessible.

Knee radiographs, including stress views, are negative. Case 6 Femoria 6. Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Case 7 Case 7.