Type your tag names separated by a space and hit enter

    Slipped Capital Femoral Epiphysis

    Slipped Capital Femoral Epiphysis is a topic covered in the 5-Minute Pediatric Consult.

    To view the entire topic, please or purchase a subscription.

    Pediatrics Central™ is an all-in-one application that puts valuable medical information, via your mobile device or the web, in the hands of clinicians treating infants, children, and adolescents. Explore these free sample topics:

    Pediatrics Central

    -- The first section of this topic is shown below --

    Basics

    Description

    Slipped capital femoral epiphysis (SCFE) is displacement of the femoral head (epiphysis) relative to the femoral neck (metaphysis).

    Epidemiology

    • Most common adolescent hip disorder
    • Male > female (3:2)
    • Up to 25% bilateral at presentation
    • 20–40% have contralateral involvement at some point.

    Incidence

    • 2 to 7 per 100,000
    • Age of onset: males 13 to 15 years; females 11 to 13 years

    Risk Factors

    Genetics

    No clear genetic predisposition to SCFE

    Pathophysiology

    • Stress across the proximal femoral physis results in slippage of the femoral neck relative to the head.
    • Weakening of the perichondrial ring and physis have been implicated.
    • The femoral head maintains its position within the acetabulum, whereas the femoral neck displaces anteriorly and more commonly superolaterally (varus).
    • In some cases, the neck displaces inferomedially (valgus).

    Etiology

    • Stress on the proximal femoral physis from increased body weight, femoral retroversion, or inclination of the physis
    • Abnormal bone metabolism secondary to endocrinopathy or renal disorders
    • Toxicity to the physis from prior radiation or chemotherapy

    Commonly Associated Conditions

    • Obesity
    • Endocrine dysfunction
      • Hypothyroidism
      • Hypopituitarism
      • Hyperparathyroidism
    • Growth hormone replacement therapy
    • Pelvic radiotherapy
    • Renal osteodystrophy

    -- To view the remaining sections of this topic, please or purchase a subscription --

    Citation

    Cabana, Michael D., editor. "Slipped Capital Femoral Epiphysis." 5-Minute Pediatric Consult, 8th ed., Wolters Kluwer, 2019. Pediatrics Central, peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis.
    Slipped Capital Femoral Epiphysis. In: Cabana MD, ed. 5-Minute Pediatric Consult. 8th ed. Wolters Kluwer; 2019. https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis. Accessed April 23, 2019.
    Slipped Capital Femoral Epiphysis. (2019). In Cabana, M. D. (Ed.), 5-Minute Pediatric Consult. Available from https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis
    Slipped Capital Femoral Epiphysis [Internet]. In: Cabana MD, editors. 5-Minute Pediatric Consult. Wolters Kluwer; 2019. [cited 2019 April 23]. Available from: https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis.
    * Article titles in AMA citation format should be in sentence-case
    TY - ELEC T1 - Slipped Capital Femoral Epiphysis ID - 617760 ED - Cabana,Michael D, BT - 5-Minute Pediatric Consult UR - https://peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis PB - Wolters Kluwer ET - 8 DB - Pediatrics Central DP - Unbound Medicine ER -