RT Book, Section
A1 Kienstra, Andrew J.
A1 Macias, Charles G.
A1 Hill, Guyon J.
A2 Tenenbein, Milton
A2 Macias, Charles G.
A2 Sharieff, Ghazala Q.
A2 Yamamoto, Loren G.
A2 Schafermeyer, Robert
SR Print(0)
ID 1155748362
T1 Slipped Capital Femoral Epiphysis
T2 Strange and Schafermeyer's Pediatric Emergency Medicine, 5e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259860751
LK accesspediatrics.mhmedical.com/content.aspx?aid=1155748362
RD 2024/04/19
AB Classic  presentation  of  slipped  capital  femoral  epiphysis  (SCFE)  is  that  of  an  obese  adolescent  with  nonradiating,  dull  pain  in  the  hip,  groin,  thigh,  or  knee  without  a  history  of  trauma.Patients  with  SCFE  may  also  present  with  isolated  thigh  or  knee  pain.The  traditional  classification  of  SCFE  is  based  on  intensity  and  duration  of  symptoms  into  four  patterns  of  presentation:  pre-slip,  acute,  acute  on  chronic,  and  chronic.The  diagnosis  is  usually  made  on  plain  radiographs  that  typically  display  an  apparent  posterior  displacement  of  the  femoral  epiphysis,  like  ice  cream  slipping  off  a  cone.  Imaging  requires  both  lateral  and  AP  views  of  the  hip.The  treatment  is  operative  and  the  goals  are  to  prevent  further  slipping  by  stabilizing  the  diseased  physis  and  preventing  further  growth  complications.The  prognosis  of  SCFE  is  related  to  the  severity  of  the  slip  as  well  as  the  etiology.