SCFE: clinical aspects, diagnosis, and classification

Journal of Children's Orthopaedics
Michael B Millis

Abstract

This article seeks to improve treatment outcomes in slipped capital femoral epiphysis (SCFE) by outlining advances in diagnosis, understanding of pathomechanics, and mechanically-based classification. Review of clinical experience with SCFE at our high-volume centre, interaction with other clinical experts, and literature review has allowed a current perspective to be articulated. SCFE remains an important clinical problem, with late diagnosis still frequent. Improved understanding of the ubiquity of femoroacetabular impingement has guided current classification and treatment protocols. SCFE is an important clinical problem, with high historical rates of impaired hip function both in childhood and adulthood. Great opportunities exist for improved outcomes following earliest possible clinical diagnosis, modern imaging, and mechanically-based classification of involved hips to allow optimal treatment.

References

Aug 1, 1993·The Journal of Bone and Joint Surgery. American Volume·R T LoderD D Aronson
Jan 1, 1993·Skeletal Radiology·A Castriota-Scanderbeg, E Orsi
Dec 23, 1999·The Journal of Bone and Joint Surgery. American Volume·D Tönnis, A Heinecke
Feb 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Masamitsu EzoeToshio Inoue
Feb 25, 2010·Journal of Pediatric Orthopedics·Craig F ShankKevin E Klingele
Mar 19, 2011·Journal of Pediatric Orthopedics·Wudbhav N SankarMichael B Millis
Oct 5, 2011·The Journal of Bone and Joint Surgery. British Volume·A R NguyenP J Cundy
Apr 11, 2012·Clinical Orthopaedics and Related Research·Kai ZiebarthReinhold Ganz
Oct 12, 2012·Clinical Orthopaedics and Related Research·Eduardo N Novais, Michael B Millis
Jan 29, 2013·Clinical Orthopaedics and Related Research·David A PodeszwaDaniel J Sucato
Jan 31, 2013·Clinical Orthopaedics and Related Research·Michael T MiloneBryan T Kelly
Feb 5, 2013·Clinical Orthopaedics and Related Research·Adam Y NasreddineMininder S Kocher
May 10, 2013·Clinical Orthopaedics and Related Research·Thomas G McPartlandMichael B Millis
Jun 25, 2013·Pediatric Radiology·Shafagh MonazzamHarish S Hosalkar
Sep 12, 2013·International Orthopaedics·Mio AkiyamaYukihide Iwamoto
Oct 1, 2013·International Journal of Obesity : Journal of the International Association for the Study of Obesity·S M SmithK A Dixon
Feb 21, 2014·Journal of Children's Orthopaedics·Anthony Philip CooperSanjeev S Madan
Mar 27, 2015·Journal of Pediatric Orthopedics·Raymond W LiuDaniel R Cooperman
Nov 17, 2015·Journal of Pediatric Orthopedics·Jakob ÖrtegrenCarl J Tiderius
Apr 8, 2016·Journal of Children's Orthopaedics·Matthew J BoyleYoung-Jo Kim
Jul 30, 2016·The Journal of Pediatrics·Mathew D SchurDavid L Skaggs

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Citations

May 23, 2017·Journal of Children's Orthopaedics·R Krauspe, S Weinstein
Sep 2, 2018·Pediatrics in Review·Alexa J KarkennyNorman Y Otsuka
Mar 14, 2019·Current Reviews in Musculoskeletal Medicine·James D Wylie, Eduardo N Novais
Dec 31, 2020·Clinical Orthopaedics and Related Research·Florian SchmaranzerEduardo N Novais
Jul 31, 2021·JBJS Case Connector·Matthew RosenKristin Harmon

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Methods Mentioned

BETA
total hip arthroplasty
imaging techniques

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