Slipped capital femoral epiphysis

Discussion:

Slipped capital femoral epiphysis (SCFE), also known as slipped upper femoral epiphysis (SUFE), is the result of a Salter-Harris type I physeal fracture. SCFE occurs more common in obese males and occurs in early adolescence. Obesity and lack of normal anteversion as well as hormonal factors such as growth hormone deficiency, hypothyroidism and decreased testosterone are predisposing factors, in which the slip is often bilateral. 

Contralateral slips usually occur within two or three years of the primary slip. Secondary osteoarthritis of the hip and avascular necrosis of the femoral head are possible complications. The treatment of choice is by pinning with immediate internal fixation in situ using a single cannulated screw. 

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