Proximal femoral slipped capital femoral epiphyses. Medical search. Frequent questions

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)
citation needed] Failure to treat a SCFE may lead to: death of bone tissue in the femoral head (avascular necrosis), degenerative hip disease (hip osteoarthritis), gait abnormalities and chronic pain. (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)
Skeletal changes may also make someone at risk of SCFE, including femoral or acetabular retroversion, those these may simply be chronic skeletal manifestations of childhood obesity. (wikipedia.org)
SCFE is a Salter-Harris type 1 fracture (fracture through the physis or growth plate) through the proximal femoral physis, which can be distinguished from other Salter-Harris type 1 fractures by identifying prior epiphysiolysis, an intact (in chronic SCFE) or partially torn (in acute SCFE) periosteum, and the displacement being slower. (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 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)
This study documents that some patients with unstable SCFE present with reduced femoral head blood supply due to SCFE. (orthocarolinaresearch.org)
Slipped capital femoral epiphysis (SCFE) is displacement of the femoral head (epiphysis) relative to the femoral neck (metaphysis). (unboundmedicine.com)
One theory suggests that subtle slipped capital femoral epiphysis (SCFE) leads to proximal femoral changes resulting in cam morphology. (elsevierpure.com)
Methods: We examined 962 cadaveric hips to measure 2 markers of cam morphology, alpha angle and anterior femoral head-neck offset (AHNO), and a validated, objective marker of subtle SCFE deformity (calcar ridge line offset). (elsevierpure.com)
Malunions of hip fractures, including intertrochanteric type and unreduced slipped capital femoral epiphysis (SCFE), are other common indications for osteotomy. (medscape.com)
Total hip arthroplasty (THA) in patients with a history of Slipped Capital Femoral Epiphysis (SCFE), is typically indicated to address the consequent deformity of the proximal femur and/or acetabulum. (openorthopaedicsjournal.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)
They include Developmental Dysplasia of the Hip, Legg-Calve-Perthes disease and Slipped Capital Femoral Epiphysis (SCFE). (drbalendra.com)
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), or slip, is a disorder of the proximal femoral growth plate leading to slippage of the epiphysis relative to the metaphysis. (envisionmi.com.au)

[ 5 ] Pathology is localized to the proximal aspect of the femur, but symptoms may occur in the knee or the thigh, thereby leading to misdiagnosis. (medscape.com)
Values of stress distribution, maximum stress, model principal strains of proximal fragment, and stress distribution around the holes of femur model were recorded. (hindawi.com)
It is unclear how the holes on the proximal femur after screws removal affect the structural integrity of the bone. (hindawi.com)
Normally, the head of the femur, called the capital, should sit squarely on the femoral neck. (wikipedia.org)
Isolated crytococcus neoformans osteomyelitis of the proximal femur: a case report and review of literature. (orthocarolinaresearch.org)
Femoroacetabular impingement syndrome (FAIS) is caused by a repetitive mechanical conflict between the acetabulum and the proximal femur, occurring in flexion and internal rotation. (bvsalud.org)
Evaluation of the entire circumference of the proximal femur warrants MRI which is further used in the assessment of chondrolabral lesions, and also bone marrow and adjacent soft tissue abnormalities. (bvsalud.org)
When the femur is viewed medially, the calcar ridge line extends from the lesser trochanter proximally along the postero-inferior femoral neck and points toward the fovea. (elsevierpure.com)
Patients with deformity of the proximal femur typically develop arthritis over time because of abnormal joint wear from malalignment. (medscape.com)
These deformities can be acquired, as in the case of proximal femur fracture malunions and nonunions, or developmental, as in the cases of fibrous dysplasia, coxa vara, and developmental dysplasia. (medscape.com)
Hip fracture: Fracture of proximal femur. (unboundmedicine.com)
Use of temporary external fixation to generate a "customized" osteotomy of proximal femur in pediatric patients. (wakehealth.edu)
Hip impingement, also known as femoroacetabular impingement (FAI), can result from subtle abnormalities of the proximal femur (ball) and acetabulum (socket) that can put stress on the hip joint. (physiopenrith.com.au)
In normal hip, the head of the femur (thigh bone) fits well into the socket (acetabulum) whereas in hip dysplasia, the socket and femoral head are not congruent because of their abnormal development. (afopa.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)
Femoroacetabular impingement (FAI) syndrome is a motion-related clinical disorder of the hip involving premature contact between the acetabulum and the proximal femur, which results in particular symptoms, clinical signs and imaging findings. (physio-pedia.com)

In the present study, we evaluated the mechanical outcome of different configurations of cannulated compression screws for the fixation of Pauwels type III femoral neck fracture and the stress distribution around the holes corresponding to fixation protocol after screws removal. (hindawi.com)
The Pauwels type III of femoral neck fracture was created in 3-matic software and the models of cannulated compression screws were constructed using UG-NX software. (hindawi.com)
Fracture model fixed by inverted triangle configuration showed the lowest volume of yielding strain in the proximal fragment. (hindawi.com)
Femoral neck fracture (FNF) is a major public health problem and a common injury encountered by orthopaedic surgeons, which accounts for about 50% of hip fractures [ 1 ]. (hindawi.com)
Femoral neck fracture type of Pauwels III [ 14 ] was created in 3-matic software (Materialize, Belgian). (hindawi.com)
Proximal femoral osteotomy is currently commonly used for adults in the treatment of hip fracture nonunions and malunions and in cases of congenital and acquired hip deformities, as in the images below. (medscape.com)
Proximal femoral osteotomy continues to find application in adults for the treatment of hip fracture nonunions and malunions and in cases of congenital and acquired hip deformities. (medscape.com)
Both femoral neck and intertrochanteric fracture nonunions respond positively to valgus-producing realignment osteotomies. (medscape.com)
In femoral neck nonunion, the fracture fails to heal despite an adequate blood supply. (medscape.com)
This severe vertical fracture line through the femoral neck is a high risk for nonunion with simple pinning fixation. (medscape.com)
Final image showing a valgus-producing osteotomy with improved orientation of the femoral neck fracture. (medscape.com)
Femoral neck fracture: Usually older adults with minor trauma, or young patient with major trauma. (unboundmedicine.com)
The outcome of unstable proximal femoral fracture treated with reverse LISS plates. (cgmh.org.tw)

Our study indicated that different cannulated compression screws fixation configurations for the unstable femoral neck fractures showed the different mechanical efficiency. (hindawi.com)
Proximal femoral osteotomy is commonly used in the treatment of nonunions of hip fractures. (medscape.com)
Intertrochanteric hip fractures typically do not disturb the blood supply to the femoral head and tend to heal predictably. (medscape.com)
Treatment of femoral fractures in children by pediatric orthopedists: results of a 1998 survey. (wakehealth.edu)
The Joint Arthroplasty service emphasizes reconstructive surgery of the hip, including proximal femoral and pelvic osteotomies, arthroplasty, and fixation of pelvic fractures. (utmb.edu)
Hip fractures can occur either due to a break in the femoral neck, in the area between the greater and lesser trochanter or below the lesser trochanter. (afopa.com)
Repetitive microtrauma can produce stress fractures of the femoral neck, femoral shaft, tibial shaft and anterior tibial muscles (shin splints), tibial tubercle (Osgood-Schlatter disease), calcaneal insertion of the Achilles tendon (Sever disease) and metatarsals. (ubc.ca)
Effects of teriparatide on cementless bipolar hemiarthroplasty in patients with osteoporotic femoral neck fractures. (cgmh.org.tw)

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)
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)
The femoral epiphysis remains in the acetabulum, and the neck is displaced anteriorly and rotates externally. (orthofixar.com)
The femoral head maintains its position within the acetabulum, whereas the femoral neck displaces anteriorly and more commonly superolaterally (varus). (unboundmedicine.com)
The hip joint is composed of two main parts: the acetabulum, which is a concave socket on the pelvis, and the femoral head, which is the rounded ball at the top of the thigh bone. (drbalendra.com)
Pincer morphology describes "overcoverage" of the femoral head by the acetabulum in which the acetabular rim is extended beyond the typical amount, either in one focal area or more generally across the acetabular rim. (physio-pedia.com)
The femoral head glides anteriorly into the acetabulum and increases joint loading. (physio-pedia.com)

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)

Mechanical failure of single cannulated screw fixation of unstable slipped capital femoral epiphysis. (wakehealth.edu)

Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis. (ijpoonline.com)
It suggests a biomechanical issue such as ass avascular necrosis or a slipped capital femoral epiphysis. (dontforgetthebubbles.com)
Ability to assess and manage common pediatric orthopaedic disorders including developmental dislocation of the hip, scoliosis, avascular necrosis of the hip, slipped capital femoral epiphysis and clubfoot. (utmb.edu)
Avascular Necrosis (AVN) is a condition that affects the femoral head (top of the thigh bone). (drbalendra.com)

In cam impingement, bony prominences of the femoral head-neck junction induce chondrolabral damage. (bvsalud.org)
Slipped capital femoral epiphysis (SFCE) has been proposed to be a risk factor for development of cam type hip impingement. (physiopenrith.com.au)
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)
The population with a combination of cam and pincer often suffer from a slipped capital femoral epiphysis called the S C F E. They show varying degrees of hip impingement. (physio-pedia.com)
Cam and pincer morphology can lead to damage of the articular cartilage and the labrum due to impingement between the acetabular rim and the femoral head during movement, which causes the symptoms of FAI syndrome. (physio-pedia.com)

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)

Acute Slipped capital femoral epiphysis: the importance of physeal stability. (ijpoonline.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)
Slipped capital femoral epiphysis: Displacement between the femoral neck and capital femoral epiphysis. (unboundmedicine.com)

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)
Proximal femoral osteotomy was a technique used in adults in the early part of the 20th century for the treatment of hip dysplasia and osteoarthritis. (medscape.com)
The benefits of early proximal femoral osteotomy to correct the deformity are two-fold. (medscape.com)
Infrequently, proximal femoral osteotomy is performed in adults for the treatment of hip arthritis and osteonecrosis. (medscape.com)
Femoral osteotomy can be used to treat the following conditions. (medscape.com)
Proximal femoral osteotomy is created and a wedge removed. (medscape.com)

El índice de masa corporal afecta la morfología femoral proximal pero no la acetabular en adolescentes sin patología de la cadera. (mishuesosyarticulaciones.com.mx)
Body Mass Index Affects Proximal Femoral but Not Acetabular Morphology in Adolescents Without Hip Pathology. (mishuesosyarticulaciones.com.mx)

Stress across the proximal femoral physis results in slippage of the femoral neck relative to the head. (unboundmedicine.com)

Regardless of the etiology, these patients with femoral deformity are at an increased risk for the development of pain and arthritis in the affected hip. (medscape.com)
Once arthritis has begun, the problem is further aggravated by the mechanical malalignment from the femoral deformity. (medscape.com)
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)
Total knee arthroplasty in patients with Ranawat type-II valgus arthritic knee with a marked coronal femoral bowing deformity: comparison between computer-assisted surgery and intra-articular resection. (cgmh.org.tw)

Lower limb length, mechanical axis deviation (MAD), lateral distal femoral angle (LDFA), and medial proximal tibial angle (MPTA) were measured. (ortopaedi.dk)

Kalff S, Gemmill T . (2012) Proximal focal humeral deficiency in a large breed dog. (uk.net)

Stress on the hip causes the epiphysis to move posteriorly and medially, relative to the metaphysis. (wikipedia.org)
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)
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)

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)
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)
Imaging modalities in patients with slipped capital femoral epiphysis. (ijpoonline.com)
All patients with secondary osteoarthritis due to slipped capital femoral epiphysis, treated with total hip arthroplasty between 1987 and 2005, were included in this retrospective study (n=30). (openorthopaedicsjournal.com)
Despite a higher failure rate, compared to total hip arthroplasty in the treatment of primary osteoarthritis, total hip arthroplasty can be considered a feasible option for patients with secondary osteoarthritis of the hip due to slipped capital femoral epiphysis. (openorthopaedicsjournal.com)
It is important to seek advice urgently from a Hip specialist , and Dr Balendra has urgent appointments available for patients with proximal hamstrings tears. (drbalendra.com)

Hip dislocation: Disarticulation of femoral head. (unboundmedicine.com)
The femoral head can dislocate either backward (posterior dislocation) or forward (anterior dislocation). (afopa.com)

Pediatrics Central , peds.unboundmedicine.com/pedscentral/view/5-Minute-Pediatric-Consult/617760/all/Slipped_Capital_Femoral_Epiphysis. (unboundmedicine.com)

Pathological femoral torsion may aggravate or decrease the mechanical conflict in FAI but can also occur in isolation. (bvsalud.org)
The MRI protocol should routinely include measurements of femoral torsion. (bvsalud.org)

Abnormal movement along the growth plate results in the slip. (wikipedia.org)

Cam morphology describes a flattening or convexity of the femoral head-neck junction. (physio-pedia.com)

Varus- and valgus-producing osteotomies were aimed at maximizing joint congruity and redistributing the weightbearing load across the femoral head to a less affected area. (medscape.com)
2013). Precision of a novel computed tomographic method for quantification of femoral varus in dogs and an assessment of the effect of femoral malpositioning. (uk.net)

Most femoral anteversion decreases and resolves around age 8-9 years (elementary school age). (scottishriteforchildren.org)
These children may prefer to "w" sit because it is comfortable, but there is no clear data supporting "w" sitting causing worsening femoral anteversion. (scottishriteforchildren.org)

In early slips, the epiphysis is flush with or below this line. (orthofixar.com)
Radiographs are the best first-line investigation with MRI useful for very early slips (can be occult on radiographs) or other pathology. (envisionmi.com.au)

When bilateral slips occur, the second slip usually occurs within 12 to 18 months of the initial slip. (orthofixar.com)

Slipped capital femoral epiphysis: prevalence, pathogenesis and natural history. (ijpoonline.com)

It is actually the metaphysis (neck part of a bone) which slips in an anterior direction with external rotation. (wikipedia.org)
Cartilaginous erosion and a transverse cleft on the anterior surface of the femoral head. (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)

The "Anti-Chiari effect" seems to be primarily caused by insufficient coverage of the femoral head rather than damage to the apophysis due to surgery. (bvsalud.org)

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)

The lesser trochanter projects from the base of the femoral neck on the back of the thigh bone. (afopa.com)

Slipped capital femoral epiphysis: Rising rates with obesity and aboriginality in Southern Australia. (ijpoonline.com)

and a severe slip as more than one half the width. (medscape.com)
It's Developed by Loder, and it is prognostic for the severe complication of osteonecrosis of the femoral head . (orthofixar.com)

Nonoperative treatment by traction and spica cast immobilization is rarely used today in Slipped Capital Femoral Epiphysis treatment because of its complications. (orthofixar.com)
Knee pain as the initial symptom of slipped capital femoral epiphysis: an analysis of initial presentation and treatment. (ijpoonline.com)
Gemmill, T. J. , Pink, J., Clarke, S. P. & McKee, W. M. (2012) Total hip replacement for the treatment of atraumatic slipped femoral capital epiphysis in dogs. (uk.net)

Slipped Capital Femoral Epiphysis traditionally has been classified according to the stability, the duration of symptoms and the severity of the slip. (orthofixar.com)

Narrow window of bone age in children with slipped capital femoral epiphyses. (ijpoonline.com)

Anatomy6

Diseases12

Chemicals and Drugs1

Analytical, Diagnostic and Therapeutic Techniques and Equipment10

Phenomena and Processes1

Information Science1

Health Care3

SCFE22

Femur16

Fracture13

Fractures8

Acetabulum7

Relative to the femoral neck1

Fixation1

Avascular necrosis4

Impingement5

Epidemiology2

Physeal1

Displacement2

Osteotomy7

Acetabular2

Physis1

Deformity4

Distal1

Focal1

Posteriorly3

Patients6

Dislocation2

Pediatric1

Torsion2

Abnormal1

Morphology1

Varus2

Anteversion2

Early slips2

Bilateral slips1

Prevalence1

Anterior3

Apophysis1

Acute2

Lesser trochanter1

Obesity1

Severe2

Treatment3

Severity of the slip1

Bone1