Slipped capital femoral epiphysis: Diagnostic pitfalls and therapeutic options

Pediatr Med Chir. 2022 Oct 28;44(s1). doi: 10.4081/pmc.2022.296.

Abstract

One of the most prevalent hip pathologies that develops during adolescence is Slipped Capital Femoral Epiphysis (SCFE), and over the past few decades, its incidence has been rising. To ensure an early diagnosis and prompt intervention, orthopedic surgeons should be aware of this entity. Review of recent developments in clinical examination and imaging diagnostic procedures. The presentation includes commonly used imaging methods, slippage measurement techniques, and classification schemes that are pertinent to treatment. An overview of SCFE surgery based on pertinent study findings and knowledge gained from ongoing clinical practice. The gold standard treatment for stable SCFE cases- those in which the continuity of the metaphysis and epiphysis is preserved-is pinning in situ using a single cannulated screw without reduction. However, there are disagreements over the best course of action for stable moderate/severe SCFE. On the best surgical strategy for unstable epiphysiolysis, no universal agreement has been reached. Finding the surgical procedure that will improve the long-term outcomes of a slipped capital femoral epiphysis is the question at hand.

MeSH terms

  • Adolescent
  • Bone Screws
  • Humans
  • Orthopedic Procedures* / methods
  • Slipped Capital Femoral Epiphyses* / diagnosis
  • Slipped Capital Femoral Epiphyses* / surgery