eMedicine Specialties > Radiology > Pediatrics

Slipped Capital Femoral Epiphysis: Follow-up

Author: Brent Adler, MD, Chief of Musculoskeletal Imaging, Department of Radiology, Children's Hospital
Contributor Information and Disclosures

Updated: Mar 18, 2008

Intervention

Patient Education: For excellent patient education resources, visit eMedicine's Foot, Ankle, Knee, and Hip Center and Sports Injury Center. Also, see eMedicine's patient education article Repetitive Motion Injuries.

Medicolegal Pitfalls

  • The frequency of a missed diagnosis of SCFE is high.
  • Often, children present with vague knee or hip complaints weeks prior to the occurrence of complete slippage.
  • Because the clinical signs are not helpful, meticulous technique and evaluation of hip and pelvis images are important in the adolescent age group.

See also the Medscape topic Medical Malpractice and Legal Issues.


 


More on Slipped Capital Femoral Epiphysis

Overview: Slipped Capital Femoral Epiphysis
Imaging: Slipped Capital Femoral Epiphysis
Follow-up: Slipped Capital Femoral Epiphysis
Multimedia: Slipped Capital Femoral Epiphysis
References

References

  1. Ballas MT, Tytko J. Commonly Missed Orthopedic Problems page. American Academy of Family Physicians Web site. 1998. Available at: http://www.aafp.org/afp/980115ap/ballas.html. Accessed March 13, 2008. [Full Text].

  2. Boles CA, el-Khoury GY. Slipped capital femoral epiphysis. Radiographics. Jul-Aug 1997;17(4):809-23. [Medline].

  3. Murray AW, Wilson NI. Changing incidence of slipped capital femoral epiphysis: A RELATIONSHIP WITH OBESITY?. J Bone Joint Surg Br. Jan 2008;90(1):92-4. [Medline].

  4. Yildirim Y, Bautista S, Davidson RS. Chondrolysis, osteonecrosis, and slip severity in patients with subsequent contralateral slipped capital femoral epiphysis. J Bone Joint Surg Am. Mar 2008;90(3):485-92. [Medline].

  5. Lim YJ, Lam KS, Lim KB, Mahadev A, Lee EH. Management outcome and the role of manipulation in slipped capital femoral epiphysis. J Orthop Surg (Hong Kong). Dec 2007;15(3):334-8. [Medline].

  6. Odgers CJ, Dabney K. Bilateral Slipped Capital Femoral Epiphysis. 1996. Available at: http://gait.aidi.udel.edu/res695/homepage/pd_ortho/educate/clincase/scfe.htm. Accessed March 13, 2008. [Full Text].

  7. Miyanji F, Mahar A, Oka R, Pring M, Wenger D. Biomechanical comparison of fully and partially threaded screws for fixation of slipped capital femoral epiphysis. J Pediatr Orthop. Jan-Feb 2008;28(1):49-52. [Medline].

  8. Yamamoto LG. Thigh and Knee Pain in an Obese 10-Year Old. Radiology Cases in Pediatric Emergency Medicine. 1995. Available at: http://www2.hawaii.edu/medicine/pediatrics/pemxray/v2c10.html. Accessed March 13, 2008. [Full Text].

  9. Keiser V, Berlin S, Myers M, et al. Slipped Capital Femoral Epiphysis. Pediatric Imaging Teaching Files. Available at: http://www.uhrad.com/pedsarc/peds049.htm. Accessed March 13, 2008. [Full Text].

  10. Resnick D. Diagnosis of Bone and Joint Disorders. 3rd ed. Philadelphia: WB Saunders Co;1995.

  11. Gekeler J. Radiology of adolescent slipped capital femoral epiphysis: measurement of epiphyseal angles and diagnosis. Oper Orthop Traumatol. Oct 2007;19(4):329-44. [Medline].

Further Reading

Keywords

SCFE, hip abnormality, early osteoarthritis, proximal femoral physis, Salter-Harris type 1 fracture, hip pain

Contributor Information and Disclosures

Author

Brent Adler, MD, Chief of Musculoskeletal Imaging, Department of Radiology, Children's Hospital
Brent Adler, MD is a member of the following medical societies: American College of Radiology, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Medical Editor

Beverly P Wood, MD, MS, PhD, Professor, Departments of Radiology and Pediatrics, Division of Medical Education, Keck School of Medicine, University of Southern California
Beverly P Wood, MD, MS, PhD is a member of the following medical societies: American Academy of Pediatrics, American Association for Women Radiologists, American College of Radiology, American Institute of Ultrasound in Medicine, American Medical Association, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, and Society for Pediatric Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Marta Hernanz-Schulman, MD, FAAP, Professor, Radiology, Radiological Sciences, and Pediatrics, Director, Department of Pediatric Radiology, Radiologist-in-Chief, Director, Department of Diagnostic Imaging, Vanderbilt University Medical Center, Vanderbilt Children's Hospital
Marta Hernanz-Schulman, MD, FAAP is a member of the following medical societies: American Institute of Ultrasound in Medicine and American Roentgen Ray Society
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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