eMedicine Specialties > Radiology > Pediatrics
Slipped Capital Femoral Epiphysis: Follow-up
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.
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| Imaging: Slipped Capital Femoral Epiphysis |
Follow-up: Slipped Capital Femoral Epiphysis |
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References
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].
Boles CA, el-Khoury GY. Slipped capital femoral epiphysis. Radiographics. Jul-Aug 1997;17(4):809-23. [Medline].
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].
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].
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].
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].
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].
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].
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].
Resnick D. Diagnosis of Bone and Joint Disorders. 3rd ed. Philadelphia: WB Saunders Co;1995.
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
Follow-up: Slipped Capital Femoral Epiphysis