Slipped Capital Femoral Epiphysis Wheeless

Description: Wheeless' Textbook of Orthopaedics
- slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; - arises from mechanical and constitutional factors; - pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; - position of growth plate of proximal femur normally changes from horizontal to to obliqueduring preadolescence and adolescence; - wt increase that occurs during adolescent growth spurt puts extra strain on the growth plate; - remember that bilateral involvement is occurs in over 25% of patients - often within 6 months of the other side;