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    Slipped Capital Femoral Epiphysis

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    drprasant
    This document discusses slipped capital femoral epiphysis (SCFE), a condition where the femoral head slips out of place from the femoral neck during adolescent growth. SCFE most commonly affects obese males between 10-16 years old and can be bilateral in up to 80% of cases. Risk factors include increased physeal height and inclination, endocrine disorders like hypothyroidism, and certain genetic conditions. Imaging like x-rays can diagnose SCFE by identifying signs like Klein's line and Capener's sign. Treatment involves internal fixation of the slipped capital femoral epiphysis to allow healing in the proper position, with risks of complications like avascular necrosis and osteoarthritis if not addressed.

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    Slipped Capital Femoral Epiphysis

    Uploaded by

    drprasant
    9 views12 pages
    This document discusses slipped capital femoral epiphysis (SCFE), a condition where the femoral head slips out of place from the femoral neck during adolescent growth. SCFE most commonly affects obese males between 10-16 years old and can be bilateral in up to 80% of cases. Risk factors include increased physeal height and inclination, endocrine disorders like hypothyroidism, and certain genetic conditions. Imaging like x-rays can diagnose SCFE by identifying signs like Klein's line and Capener's sign. Treatment involves internal fixation of the slipped capital femoral epiphysis to allow healing in the proper position, with risks of complications like avascular necrosis and osteoarthritis if not addressed.

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    This document discusses slipped capital femoral epiphysis (SCFE), a condition where the femoral head slips out of place from the femoral neck during adolescent growth. SCFE most commonly affects obese males between 10-16 years old and can be bilateral in up to 80% of cases. Risk factors include increased physeal height and inclination, endocrine disorders like hypothyroidism, and certain genetic conditions. Imaging like x-rays can diagnose SCFE by identifying signs like Klein's line and Capener's sign. Treatment involves internal fixation of the slipped capital femoral epiphysis to allow healing in the proper position, with risks of complications like avascular necrosis and osteoarthritis if not addressed.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    9 views12 pages

    Slipped Capital Femoral Epiphysis

    Uploaded by

    drprasant
    This document discusses slipped capital femoral epiphysis (SCFE), a condition where the femoral head slips out of place from the femoral neck during adolescent growth. SCFE most commonly affects obese males between 10-16 years old and can be bilateral in up to 80% of cases. Risk factors include increased physeal height and inclination, endocrine disorders like hypothyroidism, and certain genetic conditions. Imaging like x-rays can diagnose SCFE by identifying signs like Klein's line and Capener's sign. Treatment involves internal fixation of the slipped capital femoral epiphysis to allow healing in the proper position, with risks of complications like avascular necrosis and osteoarthritis if not addressed.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as ppt, pdf, or txt
    of 12

    Slipped Capital Femoral

    Epiphysis
    (SCFE)
    Leonel Copeliovitch M.D.
    Assaf Harofe Medical Center

    SCFE
    Antero-lateral displacement of the
    femoral neck from the epiphysis
    Occurs during adolescent growth
    spurt
    Bilateral in 10 to 80% of cases
    More common on the left than the
    right
    Affects 1 3 per 100,000 people

    SCFE
    Males: 60%, Females:40% of the
    cases
    Obese child(2/3) or rapidly growing
    tall adolescent(1/3)
    In 5% , parents with SCFE

    SCFE- Risk Factors


    Physeal height
    Planar physis
    Load
    Abnormal physeal inclination
    Deficient physeal components

    SCFE- disorders associated


    Endocrine :cryptorchidism,
    hypothyroidism, adiposogenital
    syndrome, acromegaly, growth
    hormone therapy
    Genetic: Kleinfelter, Down, Marfan
    Metabolic: Rickets, renal
    osteodystrophy

    SCFE- Pathology
    Slip occur between proliferative
    and hypertrophic zones
    Physeal fracture occurs between
    hypertrophic and calcification
    zones

    SCFE- Clinic
    Stable, unstable
    Limp- Trendelenburg
    Limitations: abduction, internal
    rotation and flexion
    Pain: groin, thigh or knee
    Limb shortening: 1 2 cm

    SCFE- Imaging
    X ray: AP, FROG
    Kleins line, Capeners sign
    Ultra sound
    Bone scan

    SCFE- classification
    Acute
    Chronic
    Acute on chronic

    SCFE- grading
    Till 30%
    30% to 60%
    Over 60%

    SCFE- treatment
    Internal fixation in situ
    Manipulation and internal fixation
    Osteotomies: Dunn, Southwick

    SCFE- complications
    Avascular necrosis (AVN)
    Chondrolysis
    Residual deformity
    Osteoarthritis

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