Slipped Capital Femoral Epiphysis Surgery Differential Diagnoses

Updated: Aug 06, 2021
  • Author: Mihir M Thacker, MBBS, MS(Orth), DNB(Orth), FCPS(Orth), D'Ortho; Chief Editor: William L Jaffe, MD  more...
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Diagnostic Considerations

Slipped capital femoral epiphysis (SCFE) must be considered in the differential diagnosis for children presenting with knee pain. Typically, knee examination and radiographic findings are normal in individuals with SCFE. All children with knee pain should have their hips evaluated.

Conditions to be considered in the differential diagnosis include the following:

  • Knee injury
  • "Groin pull"
  • Trauma - Hemarthrosis or fracture may manifest similarly to an acute slip
  • Infections - Septic arthritis and acute osteomyelitis must be excluded in acute cases
  • Legg-Calvé-Perthes disease - This disease usually affects children aged 4-9 years
  • Juvenile rheumatoid arthritis - This condition may manifest with hip involvement and minimal systemic manifestations
  • Transient synovitis
  • Benign or malignant tumors