Pediatric clinics of North America
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Pediatr. Clin. North Am. · Dec 2014
ReviewSlipped capital femoral epiphysis: how to evaluate with a review and update of treatment.
Slipped capital femoral epiphysis (SCFE) involves displacement of the proximal femoral metaphysis relative to a fixed epiphysis, usually during a period of rapid growth and unique physeal susceptibility. Patients have characteristic clinical, histologic, and radiologic features. ⋯ If confirmed, appropriate treatment involves proximal femoral physeal stabilization and/or realignment. The optimal surgical treatment of severe SCFE and its late sequela remain an evolving and controversial subject.