title: Slipped capital femoral epiphysis: what's new?
abstract: Slipped capital femoral epiphysis (SCFE) is a common hip disorder among adolescents, whereby the epiphysis is displaced posteriorly and inferiorly to the metaphysis. Treatment modalities aim to stabilize the epiphysis, prevent further slippage, and avoid complications associated with long-term morbidity, such as osteonecrosis and chondrolysis. Controversy exists with SCFE regarding prophylactic fixation of the contralateral, painless, normal hip, the role of femoroacetabular impingement with SCFE, and whether in situ fixation is the best treatment method for SCFE. This article presents and discusses the latest diagnostic and treatment modalities for SCFE.
authors.affiliation: Hand and Upper Extremity Fellow, The Indiana Hand to Shoulder Center, 8501 Harcourt Road, Indianapolis, IN 46260, USA.
authors.forename: Kathryn
authors.initials: K
authors.lastname: Peck
authors.forename: José
authors.initials: J
authors.lastname: Herrera-Soto
mesh_terms: D000293:Adolescent; D002357:Cartilage Diseases / Q000209:etiology / Q000517:prevention & control; D057925:Femoracetabular Impingement / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D005269:Femur / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery; D006617:Hip Dislocation / Q000209:etiology / Q000517:prevention & control; D006621:Hip Joint / Q000000981:diagnostic imaging / Q000503:physiopathology; D006801:Humans; D009984:Orthopedic Fixation Devices; D019637:Orthopedic Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods; D010020:Osteonecrosis / Q000209:etiology / Q000517:prevention & control; D017063:Outcome Assessment, Health Care; D011183:Postoperative Complications / Q000517:prevention & control*; D011859:Radiography; D060048:Slipped Capital Femoral Epiphyses / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery
keywords: Femoroacetabular impingement; In situ fixation; Slipped capital femoral epiphysis; Surgical hip dislocation