title: Imaging SCFE: diagnosis, treatment and complications.
abstract: Slipped capital femoral epiphysis (SCFE) is a common orthopedic disorder in children. It can lead to avascular necrosis, cartilage loss, femoroacetabular impingent (FAI) and early osteoarthritis. The consequences of SCFE are worsened by delays in diagnosis and proper management. Radiography is the primary imaging modality used to evaluate SCFE; however, MR, CT and bone scintigraphy have important roles. Preoperatively, these modalities assist in surgical planning and predicting prognosis; postoperatively, they provide assessment of hardware failure, ischemic necrosis and morphology predisposing to FAI. Emphasizing a multimodality approach, this review addresses the imaging diagnosis of SCFE, the expected postoperative appearances and the findings of immediate and long-term complications.
authors.affiliation: Department of Radiology, Boston Children's Hospital, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA. delma.jarrett@childrens.harvard.edu
authors.forename: Delma Y
authors.initials: DY
authors.lastname: Jarrett
authors.forename: Travis
authors.initials: T
authors.lastname: Matheney
authors.forename: Paul K
authors.initials: PK
authors.lastname: Kleinman
mesh_terms: D002648:Child; D002675:Child, Preschool; D003952:Diagnostic Imaging / Q000379:methods*; D005260:Female; D005271:Femur Head Necrosis / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D015207:Osteoarthritis, Hip / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D018570:Risk Assessment; D060048:Slipped Capital Femoral Epiphyses / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery