title: Current concepts in management of slipped capital femoral epiphysis.
abstract: Slipped capital femoral epiphysis (SCFE) is a common hip condition that can be disabling. In this review, we provide an orientation on current trends in the clinical management of SCFE including conventional procedures and specialised surgical developments. Different methods of fixation of the epiphysis, risks of complications, and the rationale of addressing deformity, primarily or secondarily, are presented. Although improved understanding of the anatomy, vascularity and implications of residual deformity have changed management strategies, the best modality of treatment that would restore complete vascularity to the femoral head and prevent any residual deformity, impingement and early osteoarthritis remains elusive.
authors.affiliation: 1 University of Düsseldorf, Medical Faculty, Department of Orthopedic Surgery, Düsseldorf - Germany.
authors.forename: Bernd
authors.initials: B
authors.lastname: Bittersohl
authors.forename: Harish S
authors.initials: HS
authors.lastname: Hosalkar
authors.forename: Christoph
authors.initials: C
authors.lastname: Zilkens
authors.forename: Rüdiger
authors.initials: R
authors.lastname: Krauspe
mesh_terms: D001858:Bone Nails; D001864:Bone Wires; D005260:Female; D057925:Femoracetabular Impingement / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging / Q000473:pathology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000295:instrumentation / Q000379:methods*; D015207:Osteoarthritis, Hip / Q000517:prevention & control; D010147:Pain Measurement; D011859:Radiography; D016059:Range of Motion, Articular / Q000502:physiology*; D018570:Risk Assessment; D012720:Severity of Illness Index; D060048:Slipped Capital Femoral Epiphyses / Q000000981:diagnostic imaging* / Q000601:surgery*; D016896:Treatment Outcome