Back to Basics: Slipped Capital Femoral Epiphysis
Slipped Capital Femoral Epiphysis
- fracture through the growthplate (physis) resulting in slippage of overlying end of femur (epiphysis)
- may report antecedent trivial trauma
- presentation: hip pain, groin pain, thigh pain, knee pain, limp &/or decreased range of motion of hip
- most common in obese adolescent males or tall, thin, rapidly growing
- diagnosis: AP & B/L frog leg lateral views
- treatment: operative internal fixation; consider prophylactic treatment of asymptomatic hip (bilateral in up to 40%)
- complications: avascular necrosis, degenerative arthritis, gait abnormalities, chronic pain
Image courtesy of Brian Freeze, MD
Rivers, Carol. Orthopedic Emergencies. In: Preparing for the Written Board Exam in Emergency Medicine. 7th ed. Columbus, Ohio: Ohio Chapter, American College of Emergency Physicians; 2014: 477.
Walter, K, Lin, Y, Schwartz, E. Slipped Capital Femoral Epiphysis. Medscape Website. http://emedicine.medscape.com/article/91596-overview. Updated Dec 2016. Accessed July 18, 2017.