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Slipped Capital Femoral Epiphysis (SCFE / SUFE)

Introduction

Slipped Capital Femoral Epiphysis (SCFE), also sometimes called Slipped Upper Femoral Epiphysis (SUFE) is a disease of childhood, typically seen in late childhood and early adolescence.

In the condition, the head of the femur ‘slips’ out of alignment due to shearing forces across the physics (growth plate).

SCFE is associated with obesity, and often presents as hip and / or knee pain. It is usually unilateral but can be bilateral. The affected leg may be shortened and external rotated.

It can be diagnosed with a frog leg lateral view x-ray of the hip and always requires surgical intervention. Left untreated, there is often further slippage and permanent disability.

 

Epidemiology

Pathology

Presentation

Differentials

Investigation

 

Management

Complications

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