MedPix® Medical Image DatabaseDisease Topic 9082
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Contributor: Amit Kumar Sanghi - National Capital Consortium
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More Like This ? Traumatic SCFE
Factoid 9082 - Created: 2009-02-16 17:52:09-05 - Modified: 2009-02-16 21:23:58.171045-05
ACR Codes: 4.4
SCFE occurs through the unfused growth plate of the proximal femur where the femoral head slips posteriorly on the femoral neck. Serious consequences of the problem, such as gait disturbance, post-traumatic arthritis, chondrolysis and osteonecrosis of the femoral head can occur, leading to lifelong disability. Prompt diagnosis and treatment of this problem is essential

SCFE occurs in children averaging 12 years in girls and 13-14 years in boys. More than 60% of SCFE patients are in the 90th percentile for weight. Patients present with thigh, knee or hip pain and often an antalgic, out-toed gait. Nearly 85% have had pain at least three weeks at the time of presentation (so called chronic slips) and are able to weight-bear.

Children with SCFE are of preteen or adolescent age, frequently obese. It can be caused by an acute traumatic episode.

On physical exam there is often a decrease in flexion of the affected hip with an obligate outward rotation of the hip as it is brought into flexion

Surgical treatment with single cannulated 6.5 or 7.3 mm screw fixation in situ. The treatment is aimed at closing the proximal femoral physis to avoid future slip.
Reference(s):
http://www.teambone.com/chapters/peds/scfe/scfe.html

Fundamentals of Diagnostic Radiology. W. Brant and C. Helms
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Prepared by: Amit Kumar Sanghi
Affiliation: National Capital Consortium - || - Author Profile
Approved by: Albert V Porambo
Affiliation: Civilian Medical Center - || - Editor Profile
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