Patients were divided into acute and chronic cases of slipped capital femoral epiphysis
by reviewing their initial medical records: acute if the duration of symptoms was less than three weeks, and chronic if more; and if the prodromal symptoms (vague groin pain, upper or lower thigh pain, limp) were present prior to slip, it was considered as acute on chronic.2
Klingele, "Valgus slipped capital femoral epiphysis
: prevalence, presentation, and treatment options," Journal of Pediatric Orthopaedics, vol.
Subclinical slipped capital femoral epiphysis
. Relationship to osteoarthrosis of the hip.
There are 2 femoral head disorders that commonly affect Children and adolescents: Avascular necrosis of the femoral head and slipped capital femoral epiphysis
Measurement using Klein's line (depicted on films) revealed posteromedial displacement of the capital femoral epiphysis
on the metaphysis of the right femur.
More serious adverse events include intracranial hypertension, diabetic retinopathy, slipped capital femoral epiphysis
, progression of preexisting scoliosis, and sudden death in some pediatric patients with Prader-Willi syndrome.
In children with slipped capital femoral epiphysis
(SCFE), posteromedioinferior subluxation of the proximal femoral epiphysis with respect to the metaphysis has been described as resembling a scoop of ice cream slipping from its cone (10,13) (Figure 14).
* CAPITAL FEMORAL EPIPHYSIS
WELL CONTAINED, OCCUPYING THE INNER LOWER QUARDRANT.
This is more difficult in patients with slipped capital femoral epiphysis
or Perthes disease, where the tip of the trochanter may even stay in contact with the posterior acetabular wall and internal rotation may be difficult.
Diagnosis: Bilateral slipped capital femoral epiphysis
Keep in mind that slipped capital femoral epiphysis
can present as knee pain, so check hip internal rotation.
Aside from having a thorough patellar exam, athletes with suspected PFS should undergo a full structural exam--including a careful examination of the hip--to rule out a slipped capital femoral epiphysis