[Slipped capital femoral epiphysis].
Slipped capital femoral epiphysis (SFCE) is a disorder of the hip, characterized by a displacement of the capital femoral epiphysis from the metaphysic through the femoral growth plate. The epiphysis slips posteriorly and inferiorly. SCFE occurs during puberty and metabolic and epidemiologic risk factors, such as obesity are frequently found. Most chronic slips are diagnosed late. Sagittal hip X-rays show epiphysis slip. In case of untreated SCFE, a slip progression arises with an acute slip risk. Treatment is indicated to prevent slip worsening. The clinical and radiological classification is useful to guide treatment and it is predictive of the prognosis. In situ fixation of stable and moderately displaced SCFE with cannulated screws gives excellent results. Major complications are chondrolysis and osteonecrosis and the major sequelae are femoroacetabular impingement and early arthritis.
Service chirurgie de l'enfant, orthopédie et traumatologie, CHU d'Amiens-Picardie, 80054 Amiens cedex, France. Electronic address: celinekleinfr@yahoo.fr.
C
C
Klein
Service chirurgie de l'enfant, orthopédie et traumatologie, CHU d'Amiens-Picardie, 80054 Amiens cedex, France.
E
E
Haraux
Clinique chirurgicale infantile, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex 1, France.
J
J
Leroux
Service chirurgie de l'enfant, orthopédie et traumatologie, CHU d'Amiens-Picardie, 80054 Amiens cedex, France.
R
R
Gouron
D000293:Adolescent; D001863:Bone Screws; D002648:Child; D002675:Child, Preschool; D002908:Chronic Disease; D003952:Diagnostic Imaging; D018450:Disease Progression; D042241:Early Diagnosis; D004839:Epiphyses, Slipped / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D005260:Female; D005270:Femur Head; D006801:Humans; D007223:Infant; D008297:Male; D011379:Prognosis; D012008:Recurrence; D012307:Risk Factors