Charles Explorer logo
🇬🇧

Slipped capital femoral epiphysis - review article

Publication at Second Faculty of Medicine |
2018

Abstract

Slipped capital femoral epiphysis is a disorder defined as non-traumatic separation in the capital femoral growth plate and dislocation of the head of the femur medially and dorsally. The condition is caused by hormonal imbalances and affects adolescent patients undergoing a rapid growth acceleration.

If the disease is misdiagnosed or mistreated, it will ultimately lead to secondary osteoartritis via femoroacetabular impingement. In the clinical examination, pain in the anterior region of the thigh or knee is frequent and can lead to a late diagnosis.

Treatment options for SCFE are always surgical, and the Sumery method is chosen according to both X-ray findings and the course of the disease. In acute slips, surgeons try to gently reduce the deformity with subsequent in situ fixation.

Appropriate multiplanar proximal femoral osteotomy is used in patients with chronic and more pronounced slips.