Slipped Epiphysis (Subscribe)  

Br Med J (Clin Res Ed). 1986 July 26; 293(6541): 256–257. I J Brenkel, A J Prosser, and M Pearse Full Text

Synonyms and related keywords: SCFE, adolescent coxa vara, slipped upper femoral epiphysis (SUFE), knee pain, hip pain, knee injury, hip injury
Contents - Introduction Indications Relevant Anatomy And Contraindications Workup Treatment Complications Outcome And Prognosis Future And Controversies Pictures Bibliography
The term slipped capital femoral epiphysis is a misnomer because the...

Contents - Introduction Differentials Radiograph CT Scan MRI Ultrasound Nuclear Medicine Intervention Pictures Bibliography
Slipped capital femoral epiphysis (SCFE) is the most common hip abnormality presenting in adolescence and a primary cause of early osteoarthritis. Unfortunately, SCFE frequently is misdiagnosed, and it has symptoms that can be misleading. Early treatment...

Synonyms and related keywords: SCFE, hip disorder, slipped hip, adolescent hip disorder, femoral head displacement, Salter-Harris physeal fracture, Salter-Harris fracture, hip pain, hip joint pain
Contents - Introduction Clinical Differentials Workup Treatment Medication Follow-up Miscellaneous Multimedia References
Slipped capital femoral epiphysis (SCFE) persists as one of the most common adolescent hip disorders...

Search string allintitle: slipped epiphysis yielded 11,300 sites in July 2007. The majority of these sites are patient information.

* boys> girls
* age 10 - 15 yrs
* blacks> whites (unlike CHD + Legg-Perthes disease)
* related to height, weight, athletic activity
* if BILATERAL ==> renal osteodystrophy
* femoral epiphysis slips POSTERIORLY and MEDIALLY
* use frog-leg + lateral projections
* complications:
  o AVN
  o acute cartilage necrosis (chondrolysis)
  o varus deformity

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...

BMJ. 1989 September 16; 299(6701): 720–721
R. L. Wolman, M. G. Harries, and I. Fyfe (Full text)

Search string "Epiphyses, Slipped"[Majr] yielded 1220 articles July 2007

Definition - Displacement of proximal femoral epiphysis in the immature hip due to imbalance of mechanical and endocrine factors
Physeal dehiscence 2° shear load