2008, Number 2
PDF size: 163.10 Kb.
ABSTRACTSlipped capital femoral epiphyis (SCFE) or epiphysiolistesis proximal femoral is an epiphysial displacement over the metaphysis and across the bone growing cartilage. It is a common disease, usually seen on fast-growing ages and its etiologic factors remain unknown but, at least for the evidence, it seems to be related with hormonal changes. SCFE is characterized by pain, principally on hip and knee and a mild impossibility for displacement with claudicated walking (limping). SCFE is classified as stable or unstable depending with the possibility or absence of the ability of walking and this classification is a prognostic factor. SCFE is diagnosed clinically and by roentgenograms and it is treated surgically with fixation preventing more displacement, in situ if it is stable and with reduction if it is unstable. SCFE complications are chondrolysis and avascular necrosis of the femoral head.
Loder RT. The demographics of slipped capital femoral epiphysis. An international multicentric study. Clin Orthop Relat Res 1996:322-327.
Loder RT, Aronson DD, Greenfield ML. The epidemiology of slipped capital femoral epiphysis. A study of children in Michigan. J Bone Joint Surg Am 1996;78: 226-230.
Aronsson D, Loder R, Breur G, Weinstein S. Slipped capital femoral Epiphysis: current concepts. J Am Acad Orthop Surg 2006;14:666-679.
Tachdjian M. Ortopedia pediátrica. Editorial McGraw-Hill 1994:1097-1166.
Loder R. Correlation of radiographic changes with disease severity and demographic variables in children with stable slipped capital femoral epiphysis. J Pediatr Orthop 2008;28:248-290.
Chung S, Batterman S, Brighton C. Shear strength of the human femoral capital epiphyseal plate. J Bone Joint Surg 1976;58A:94.
Papavasiliou K, Kirkos J, Kapetanos G, Pournaras J. Potential influence of hormones in the development of slipped capital femoral epiphysis: a preliminary study. Journal of Pediatric Orthopaedics B 2007;16(1):1-5.
Murray A, Wilson L. Changing incidence of slipped capital femoral epiphysis: a relationship with obesity? Journal of Bone & Joint Surgery – British 2008;90-B(1):92-94.
Aadalen RJ, Weiner DS, Hoyt W, Herndon CH. Acute slipped capital femoral epiphysis. J Bone Joint Surg Am 1974;56:1473-1487.
Rab GT. The geometry of slipped capital femoral epiphysis: Implications for movement, impingement, and corrective osteotomy. J Pediatr Orthop 1999; 19:419-424.
Matava MJ, Patton CM, Luhmann S, Gordon JE, Schoenecker PL. Knee pain as the initial symptom of slipped capital femoral epiphysis: An analysis of initial presentation and treatment. J Pediatr Orthop 1999;19:455-460.
Jacobs B. Diagnosis and natural history of slipped capital femoral epiphysis. Instr Course Lect 1972; 21: 167-173.
Loder RT, Aronsson DD, Dobbs MB, Weinstein SL. Slipped capital femoral epiphysis. Instr Course Lect 2001; 50:555-570.
Karol LA, Doane RM, Cornicelli SF, Zak PA, Haut RC, Manoli A II. Single versus double screw fixation for treatment of slipped capital femoral epiphysis: A biomechanical analysis. J Pediatr Orthop 1992;12:741-745.
Mooney JF III, Sanders JO, Browne RH et al. Management of unstable/acute slipped capital femoral epiphysis: Results of a survey of the POSNA membership. J Pediatr Orthop 2005;25:162-166.
Rahme D, Comley A, Foster B, Cundy P. Consequences of diagnostic delays in slipped capital femoral epiphysis Journal of Pediatric Orthopaedics B 2006;15(2):93-97.
Lubicky JP. Chondrolysis and avascular necrosis: Complications of slipped capital femoral epiphysis. J Pediatr Orthop B 1996;5:162-167.