SCFEFemoral neckCapital femoral epiphysesHead of thEpidemiologyDisplacementMetaphysisBilateralPosteriorlySeptic arthritisPhysealDeformityAcetabulumObesityPrevalencePediatricDiagnosisAvascular necrosisOccurOsteotomyPatellofemoralKnee painApophysisObeseBoneTraumaContralateralRadiographyMildSymptomsAsymptomaticPatientsChildrenCommonGrowthAcuteFixationSubtleYoung AdultTreatmentBlack malesPainMorphologyPreventHipsReductionNeck
SCFE24
- Slipped capital femoral epiphysis (SCFE) is the most common hip abnormality presenting during adolescence and is a primary cause of early osteoarthritis. (medscape.com)
- Patients with unilateral SCFE presentations with an underlying endocrinopathy are at heightened risk for contralateral slip development and should be treated with prophylactic fixation. (medscape.com)
- Slip progression after in situ fixation of SCFE has been reported as occurring in up to 20% of patients. (medscape.com)
- [ 8 ] The Wilson method or the Southwick method can be used to measure the grade of severity of the slip in SCFE. (medscape.com)
- Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur (metaphysis). (wikipedia.org)
- In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. (wikipedia.org)
- Although it is not the epiphysis that displaced, by convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment (capital femoral epiphysis) to the normal distal fragment (femoral neck). (wikipedia.org)
- Slipped capital femoral epiphysis (SCFE) is an orthopedic emergency. (sagepub.com)
- Slipped capital femoral epiphysis (SCFE) is a disorder of the adolescent hip in which the upper part of the femur (head) slips through the growth plate (physis) and results in displacement of the overlying head on the neck of the femur. (luriechildrens.org)
- In SCFE, the top of the ball slips off the rest of the femur through the growth plate. (luriechildrens.org)
- SCFE is most common in adolescent males, especially black males , but also affects females. (luriechildrens.org)
- Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. (medscape.com)
- Slipped capital femoral epiphysis (SCFE) usually occurs in early adolescence and preferentially affects boys. (msdmanuals.com)
- Slipped capital femoral epiphysis (SCFE) is displacement of the femoral head (epiphysis) relative to the femoral neck (metaphysis). (unboundmedicine.com)
- Bones: Structure and Types (SCFE) is an orthopedic disorder of early adolescence characterized by the pathologic "slipping" or displacement Displacement The process by which an emotional or behavioral response that is appropriate for one situation appears in another situation for which it is inappropriate. (lecturio.com)
- Slipped capital femoral epiphysis (SCFE) is an uncommon disease of the adolescent hip. (facty.com)
- SCFE is most common in male adolescents with obesity. (facty.com)
- Slipped capital femoral epiphysis (SCFE) is defined as the disruption of the relationship between the proximal femoral epiphysis and the femoral neck because of softening of the proximal femoral physis and increased shear forces due to rapid growth and increased body weight during puberty. (totbid.org.tr)
- This condition rarely causes long-term problems, however, in some, it may predispose to slipped capital femoral epiphysis (SCFE). (scottishriteforchildren.org)
- Slipped Capital Femoral Epiphysis SCFE is seen most often in obese adolescent African American boys during their rapid growth spurt (10-16 years of age). (orthofixar.com)
- Ultrasonography and MRI have been used for diagnosis and evaluation of Slipped Capital Femoral Epiphysis SCFE. (orthofixar.com)
- Dysplasia can already develop in newborns and cam deformity is a common consequence of slipped capital femoral epiphysis (SCFE), the most common hip disease in adolescents. (lu.se)
- This will be done through improved treatment of children and adolescents with hip dysplasia and SCFE. (lu.se)
- Further, certain conditions, such as Perthes disease and slipped capital femoral epiphysis (SCFE), may cause hip impingement. (wustl.edu)
Femoral neck6
- The head of the femur (capital femoral epiphysis) should sit squarely on the femoral neck and forms most of the "ball" on the ball-and-socket hip joint. (luriechildrens.org)
- Slipped capital femoral epiphysis is movement of the femoral neck upward and forward on the femoral epiphysis. (msdmanuals.com)
- The capital femoral epiphysis appeared completely separated, and the femoral neck revealed cloacae. (canjsurg.ca)
- Radiography revealed epiphysiodesis in coxa vara with resorption of the femoral neck and evidence of avascular necrosis of the capital femoral epiphysis ( Fig. 1 ). (canjsurg.ca)
- Slipped Capital Femoral Epiphysis is a disorder of proximal femoral epiphysis where there is a slippage of the epiphysis relative to the femoral neck. (orthofixar.com)
- The Klein line is a line along the anterior or superior aspect of the femoral neck that normally is intersected by the epiphysis. (orthofixar.com)
Capital femoral epiphyses2
- Narrow window of bone age in children with slipped capital femoral epiphyses. (ijpoonline.com)
- Some late skeletal effects, including low bone mineral density, osteonecrosis, slipped capital femoral epiphyses, oncogenic rickets, and hormone- related growth disturbances have been previously reviewed and were excluded, as were outcomes following amputa- tion and limb-salvage procedures. (umn.edu)
Head of th1
- The head of the femur slips backward in the hip joint, separating from the main part, causing a fracture of the growth plate. (facty.com)
Epidemiology2
- The epidemiology and demographics of slipped capital femoral epi[hysis. (ijpoonline.com)
- 14. Loder RT, Aronson DD, Greenfield ML. The epidemiology of bilateral slipped capital femoral epiphysis. (ijpoonline.com)
Displacement2
- Non-Hodgkin Lymphomas depends on the severity of the slip or displacement Displacement The process by which an emotional or behavioral response that is appropriate for one situation appears in another situation for which it is inappropriate. (lecturio.com)
- A cross-table, or true, lateral view can help determine the extent of posterior displacement of the epiphysis, and a "frog-leg" lateral view best shows subtle slipping. (orthofixar.com)
Metaphysis5
- It is actually the metaphysis (neck part of a bone) which slips in an anterior direction with external rotation. (wikipedia.org)
- Stress around the hip causes a shear force to be applied at the growth plate, with metaphysis anteriorly translating and externally rotating, while epiphysis remains within acetabulum. (wikipedia.org)
- Stress on the hip causes the epiphysis to move posteriorly and medially, relative to the metaphysis. (wikipedia.org)
- Blood vessels that connect the metaphysis and epiphysis serve as a conduit by which bony infection may easily reach the joint space. (medscape.com)
- A double density that is seen at the metaphysis when a femoral head is even mildly slipped posteriorly on the AP radiograph as compared with the contralateral hip. (orthofixar.com)
Bilateral4
- Patients with mild slips, slips with knee pain, or bilateral slips can occasionally present a diagnostic challenge that increases the risk of a delay in diagnosis and associated complications. (medscape.com)
- It is felt that an additional 20-40% will subsequently progress to bilateral slips. (medscape.com)
- A reduction in body mass index lowers risk for bilateral clipped capital femoral epiphysis. (ijpoonline.com)
- When bilateral slips occur, the second slip usually occurs within 12 to 18 months of the initial slip. (orthofixar.com)
Posteriorly1
- Higher BMI percentile was associated with increased alpha angle, reduced head-neck offset and epiphyseal extension, and a more posteriorly tilted epiphysis with decreased tilt angle and increased epiphyseal angle. (mishuesosyarticulaciones.com.mx)
Septic arthritis1
- A similar case of incomplete slipping of the capital femoral epiphysis secondary to septic arthritis of the hip in an adolescent has been reported. (canjsurg.ca)
Physeal1
- Acute Slipped capital femoral epiphysis: the importance of physeal stability. (ijpoonline.com)
Deformity2
- This morphology resembles a mild slipped capital femoral epiphysis deformity and may increase the shear stress across the growth plate, increasing the risk of slipped capital femoral epiphysis development in obese adolescents. (mishuesosyarticulaciones.com.mx)
- Further studies will help to clarify whether obese asymptomatic adolescents have higher prevalence of a subclinical slip deformity and whether this morphology increases the risk of slipped capital femoral epiphysis and femoroacetabular impingement development. (mishuesosyarticulaciones.com.mx)
Acetabulum3
- The term slipped capital femoral epiphysis is actually a misnomer, because the epiphysis (end part of a bone) remains in its normal anatomical position in the acetabulum (hip socket) due to the ligamentum teres femoris. (wikipedia.org)
- The femoral epiphysis remains in the acetabulum, and the neck is displaced anteriorly and rotates externally. (orthofixar.com)
- The purpose of this study was to investigate whether BMI is associated with the morphology of the proximal part of the femur and the acetabulum in a cohort of adolescents without a history of hip disorders. (mishuesosyarticulaciones.com.mx)
Obesity3
- BMI (calculated as weight in kilograms divided by height in meters squared) percentile for age and sex is the preferred measure for detecting overweight in children and adolescents because of its feasibility, reliability, and tracking with adult obesity measures. (aafp.org)
- Slipped capital femoral epiphysis: Rising rates with obesity and aboriginality in Southern Australia. (ijpoonline.com)
- The percentage of children and adolescents affected by obesity has more than tripled since the 1970s" (CDC, 2017). (papersowl.com)
Prevalence2
- The number of children and adolescents who are overweight has more than doubled since the early 1970s, with the prevalence of overweight (i.e. (aafp.org)
- Slipped capital femoral epiphysis: prevalence, pathogenesis and natural history. (ijpoonline.com)
Pediatric1
- Pediatrics Central , peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis. (unboundmedicine.com)
Diagnosis4
- Because treatment of advanced slippage is difficult, early diagnosis of slipped capital femoral epiphysis is vital. (msdmanuals.com)
- 21. Cowell HR. The significance of early diagnosis and management of slipping capital femoral epiphysis. (ijpoonline.com)
- In this case, the diagnosis of the slip was missed initially while the patient was being treated for chest infection. (canjsurg.ca)
- This is an all too common error in slipping of the capital femoral epiphysis, and may delay the diagnosis for months or years. (canjsurg.ca)
Avascular necrosis2
- If blood supply to the area is compromised, avascular necrosis and collapse of the epiphysis may occur. (msdmanuals.com)
- Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis. (ijpoonline.com)
Occur1
- It can occur in people of all ages, including adolescents and young adults.In the healthy hip, the rounded top of thigh bone (femoral head) "plugs into" the hip socket (acetabular socket) in such a way that the femoral head can move smoothly within the socket. (wustl.edu)
Osteotomy2
- Osteotomy through the lesser trochanter for slipped capital femoral epiphysis. (ijpoonline.com)
- Complications after modi ed Dunn osteotomy for the treatment of adolescent slipped capital femoral epiphysis. (ijpoonline.com)
Patellofemoral1
- An extremely common form of repetitive microtrauma seen in active adolescents is chondromalacia patella also known as patellofemoral pain syndrome. (ubc.ca)
Knee pain3
- Knee pain as the initial symptom of slipped capital femoral epiphysis: an analysis of initial presentation and treatment. (ijpoonline.com)
- The usual presentation of the patients is overweighted male adolescent with complaints of groin, thigh or knee pain and a limp. (totbid.org.tr)
- Anterior knee pain is common in children and adolescents. (biomedcentral.com)
Apophysis1
- The apophysis is the portion of the epiphysis which is attached to a tendon and subjected to tensile forces. (nuh.nhs.uk)
Obese1
- There is fair evidence that overweight adolescents and children eight years of age and older are at increased risk for becoming obese adults. (aafp.org)
Bone2
- Slipped capital femoral epiphysis Epiphysis The head of a long bone that is separated from the shaft by the epiphyseal plate until bone growth stops. (lecturio.com)
- This early adolescent phase is likely to reflect a period of peak bone growth, which tends to be highest at around 14 years of age for males. (dralisongrimaldi.com)
Trauma1
- Our case differs because in our patient there was no history of trauma, complete separation of the epiphysis, delayed treatment, open reduction and a satisfactory functional outcome. (canjsurg.ca)
Contralateral1
- A modification of this measurement considered a slip to have occurred if the maximal width of the epiphysis lateral to the Klein line differed 2 mm or more from the contralateral hip. (orthofixar.com)
Radiography1
- Radiography revealed a complete separation of the capital femoral epiphysis. (canjsurg.ca)
Mild1
- Patients with chronic slips may have mild or moderate shortening of the affected extremity, the leg may be in fixed external rotation, and a Trendelenburg gait may be present if the slip is of a moderate degree. (orthofixar.com)
Symptoms2
- Onset is usually insidious, and symptoms of slipped capital femoral epiphysis are associated with stage of slippage. (msdmanuals.com)
- Slipped Capital Femoral Epiphysis traditionally has been classified according to the stability, the duration of symptoms and the severity of the slip. (orthofixar.com)
Asymptomatic1
- Of note, a high percentage of adolescents with FAI-like shape changes remain asymptomatic. (bvsalud.org)
Patients2
- Up to 15% of patients with slipped capital femoral epiphysis present with knee or thigh pain, and the true problem (hip) may be missed until slippage worsens. (msdmanuals.com)
- Imaging modalities in patients with slipped capital femoral epiphysis. (ijpoonline.com)
Children11
- This statement summarizes the U.S. Preventive Services Task Force (USPSTF) recommendations on screening and interventions for overweight in children and adolescents and the supporting scientific evidence, and it updates the 1996 recommendations contained in the Guide to Clinical Preventive Services, 2nd ed. 1 Explanations of the ratings and of the strength of overall evidence are given in Tables 1 and 2 , respectively. (aafp.org)
- The USPSTF concludes that the evidence is insufficient to recommend for or against routine screening for overweight in children and adolescents as a means to prevent adverse health outcomes. (aafp.org)
- Approximately 15 percent of children and adolescents six to 19 years of age are overweight and are at risk of diabetes, elevated blood lipids, increased blood pressure, and their sequelae, as well as slipped capital femoral epiphysis, steatohepatitis, sleep apnea, and psychosocial problems. (aafp.org)
- The USPSTF found fair evidence that body mass index (BMI) is a reasonable measure for identifying children and adolescents who are overweight or are at risk of becoming overweight. (aafp.org)
- The USPSTF found insufficient evidence for the effectiveness of behavioral counseling or other preventive interventions with overweight children and adolescents that can be conducted in primary care settings or to which primary care physicians can make referrals. (aafp.org)
- The conclusion that there is insufficient evidence to recommend for or against screening for overweight in children and adolescents reflects the paucity of good-quality evidence on the effectiveness of interventions for this problem in the clinical setting. (aafp.org)
- There is little evidence for effective, family-based, or individual approaches for the treatment of overweight in children and adolescents in primary care settings. (aafp.org)
- Complete slipping of the capital femoral epiphysis secondary to hematogenous osteomyelitis is hitherto unreported in adolescent children. (canjsurg.ca)
- This program helps children and adolescents who are struggling with their weight. (childrensnational.org)
- 11 Fernquest and colleagues reported that males had a significantly greater change in alpha angle than female school children over the course of a 3-year longitudinal study of adolescents. (dralisongrimaldi.com)
- For example, most children and adolescents who have short stature are short because their families are short, or because their growth spurt came at the late end of the normal range of time for such development. (merckmanuals.com)
Common3
- Hip pain is a common problem for both adults and adolescents. (facty.com)
- Joint pain and swelling is common in adolescents and a high degree of suspicion is required to ensure that disaster is averted. (pedsoncologyeducation.com)
- Introduction The slipped capital femoral epiphysis is one of the commonest adolescent hip disorders and a very common cause of early-onset hip osteoarthritis. (narayanahealth.org)
Growth3
- Abnormal movement along the growth plate results in the slip. (wikipedia.org)
- The cause of slipped capital femoral epiphysis is mostly unknown (idiopathic), although it may be associated with endocrine disorders (e.g., hypothyroidism or administration of growth hormone), renal osteodystrophy, malnutrition and radiation therapy. (canjsurg.ca)
- Rapid growth associated with the adolescent growth spurt, typically 8 - 12 years in girls and 10 - 14 years in boys. (nuh.nhs.uk)
Acute2
- The slip is classified as acute if it is present for less than 3 weeks, and as chronic if present for 3 weeks or longer. (medscape.com)
- Acute slipped capital femoral epiphysis: review of the literature and report of ten cases. (ijpoonline.com)
Fixation1
- X-ray of a hip following operative percutaneous fixation of a slipped capital femoral epiphysis. (medscape.com)
Subtle1
- Is cam morphology a subtle slipped epiphysis? (dralisongrimaldi.com)
Young Adult2
- What you wouldn't know about Grace if you saw her today is that she has overcome some major hip problems with the help of UPMC Children's Hospital of Pittsburgh's Adolescent and Young Adult (AYA) Hip Preservation Program . (chp.edu)
- The search was limited to investigations with at least 15 participants and conducted at least 2 years after completion of therapy for childhood, adolescent, or young adult cancer. (umn.edu)
Treatment1
- Nonoperative treatment by traction and spica cast immobilization is rarely used today in Slipped Capital Femoral Epiphysis treatment because of its complications. (orthofixar.com)
Black males1
- SCFEs occurs slightly more commonly in adolescent males, especially young black males, although it also affects females. (wikipedia.org)
Pain1
- It must always be considered in an adolescent with hip pain. (sagepub.com)
Morphology1
- Body Mass Index Affects Proximal Femoral but Not Acetabular Morphology in Adolescents Without Hip Pathology. (mishuesosyarticulaciones.com.mx)
Prevent1
- Prevent additional slipping of the epiphysis. (orthofixar.com)
Hips1
- Radiograph of the hips 1 year after open reduction for slipped capital femoral epiphysis in the left hip. (canjsurg.ca)
Reduction1
- After reduction, the epiphysis was pinned using threaded Moore's pins. (canjsurg.ca)
Neck1
- http://gasbone.herston.uq.edu.au/~ortho/regsum/Regional/19HIP/SFCE.HTML the University of Queensland Web Page: Trethowan's line (line along superior neck) does not intersect any of epiphysis. (trethowan.org)