eMedicine Specialties > Radiology > Pediatrics

Slipped Capital Femoral Epiphysis: Multimedia

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

Updated: Mar 18, 2008

Multimedia

Slipped capital femoral epiphysis. A 13-year-old ...
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Media file 1: Slipped capital femoral epiphysis. A 13-year-old female adolescent with acute-onset right hip pain. She had presented to the emergency department 1 week prior with right knee pain. On this anteroposterior pelvic view, note the increased opacity of her right metaphysis and the subtle widening of the physis.
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Slipped capital femoral epiphysis. A 13-year-old ...

Slipped capital femoral epiphysis. A 13-year-old female adolescent with acute-onset right hip pain. She had presented to the emergency department 1 week prior with right knee pain. On this anteroposterior pelvic view, note the increased opacity of her right metaphysis and the subtle widening of the physis.

Slipped capital femoral epiphysis. A 13-year-old ...
(Enlarge Image)
Media file 2: Slipped capital femoral epiphysis. A 13-year-old female adolescent with acute-onset right hip pain had presented to the emergency department 1 week prior with right knee pain (detailed view, same patient as in Image 1). The patient has blanching of the metaphysis and only subtle widening of the physis. The epiphysis is yet to be displaced.
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Slipped capital femoral epiphysis. A 13-year-old ...

Slipped capital femoral epiphysis. A 13-year-old female adolescent with acute-onset right hip pain had presented to the emergency department 1 week prior with right knee pain (detailed view, same patient as in Image 1). The patient has blanching of the metaphysis and only subtle widening of the physis. The epiphysis is yet to be displaced.

Slipped capital femoral epiphysis. This child ha...
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Media file 3: Slipped capital femoral epiphysis. This child had undergone radiation treatment for a pelvic malignancy. On this anteroposterior hip image, the pathologic slippage is not subtle.
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Slipped capital femoral epiphysis. This child ha...

Slipped capital femoral epiphysis. This child had undergone radiation treatment for a pelvic malignancy. On this anteroposterior hip image, the pathologic slippage is not subtle.

Slipped capital femoral epiphysis. Frog-leg pelvi...
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Media file 4: Slipped capital femoral epiphysis. Frog-leg pelvic image in a child with bilateral slipped capital femoral epiphysis. A line perpendicular to the epiphyseal axis and another along the axis of the femoral neck demonstrate the degree of tilt by using the Southwick method.
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Slipped capital femoral epiphysis. Frog-leg pelvi...

Slipped capital femoral epiphysis. Frog-leg pelvic image in a child with bilateral slipped capital femoral epiphysis. A line perpendicular to the epiphyseal axis and another along the axis of the femoral neck demonstrate the degree of tilt by using the Southwick method.

Slipped capital femoral epiphysis. Image in a 14-...
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Media file 5: Slipped capital femoral epiphysis. Image in a 14-year-old male adolescent who came to the emergency department with complaints of thigh and knee pain. A relatively subtle medial slip is pictured here.
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Slipped capital femoral epiphysis. Image in a 14-...

Slipped capital femoral epiphysis. Image in a 14-year-old male adolescent who came to the emergency department with complaints of thigh and knee pain. A relatively subtle medial slip is pictured here.

Slipped capital femoral epiphysis. Image of a 14-...
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Media file 6: Slipped capital femoral epiphysis. Image of a 14-year-old male adolescent who came to the emergency department with complaints of thigh and knee pain (same patient as in Image 5). A more obvious posterior slip is noted on this frog-leg lateral view.
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Slipped capital femoral epiphysis. Image of a 14-...

Slipped capital femoral epiphysis. Image of a 14-year-old male adolescent who came to the emergency department with complaints of thigh and knee pain (same patient as in Image 5). A more obvious posterior slip is noted on this frog-leg lateral view.

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
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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].

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Further Reading

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Keywords

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

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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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