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PLoS One 2022 24;17(6):e0269745. Epub 2022 Jun 24.

Department of Orthopedics, Cook Children's Medical Center, Fort Worth, Texas, United States of America.

Slipped Capital Femoral Epiphysis (SCFE) is a skeletal pathology affecting adolescents which requires timely surgery to prevent progression. Delays in diagnosis and treatment of SCFE can negatively affect patient prognosis, and few studies have examined how health disparities and barriers to care may influence these delays. In particular, only a handful of studies have included a Hispanic patient sample, despite this ethnic group's increased risk for the disease and unique barriers to care. Read More

NASN Sch Nurse 2022 Jun 19:1942602X221104204. Epub 2022 Jun 19.

Professor, Departments of Emergency Medicine and Pediatrics, Penn State College of Medicine, Attending Pediatric Emergency Medicine physician, Penn State Hershey Medical Center Hershey, PA.

Sport participation is an important part of the development, both physically and mentally, of children and adolescents in the United States. Illness and injury associated with sport and physical activities may occur in the school setting. Although most sport-related illness and injury in students are considered minor emergencies, life-threatening illnesses or injuries may occur. Read More

Acta Ortop Bras 2022 15;30(2):e245479. Epub 2022 Apr 15.

Universidade de São Paulo, Medical School, Hospital das Clínicas, Institute of Orthopedics and Traumatology (IOT-HCFMUSP), Trauma Group, SP, Brazil.

Objective: To assess the complications in patients with severe slipped capital femoral epiphysis treated with the Dunn or modified Dunn procedure from 2012 to 2018 at the Institute of Orthopedics and Traumatology, Medical School, Universidade de São Paulo.

Methods: Analysis of medical records, preoperative and postoperative radiographs with at least one year of radiographic follow-up of patients with severe slipped capital femoral epiphysis.

Results: We reviewed the complications in 19 operated cases from 2012 to 2018, out of which 36. Read More

J Pediatr Orthop 2022 Jun 8. Epub 2022 Jun 8.

Department of Orthopaedic Surgery, Dayton Children's Hospital, Dayton, OH.

Background: No consensus exists regarding the optimal surgical management of slipped capital femoral epiphysis (SCFE). Treatment goals include avoiding slip progression and sequelae such as avascular necrosis (AVN). Factors associated with surgical implants merit further research. Read More

Vet Surg 2022 Jun 1. Epub 2022 Jun 1.

Small Animal Teaching Hospital, University of Liverpool, Wirral, UK.

Objective: To report indications, complications, and long-term outcomes following feline total hip replacement (THR) using a client-based clinical metrology questionnaire, the Feline Musculoskeletal Pain Index (FMPI), and owner satisfaction.

Study Design: Multi-institutional retrospective cohort study.

Animals: Cats (n = 44) that underwent THR (n = 56). Read More

World J Orthop 2022 May 18;13(5):515-527. Epub 2022 May 18.

Department of Orthopedic Surgery, Amphia Hospital, Breda 4818CK, Netherlands.

Background: Slipped capital femoral epiphysis (SCFE) occurs in adolescents and has an incidence of around 10 100000 children. Children presenting with a unilateral SCFE are 2335 times more likely to develop a contralateral SCFE than the general population. Prognostic factors that have been suggested to increase the risk of contralateral slip include a younger patient, an underlying endocrine disorder, growth hormone use and a higher radiographic posterior sloping angle. Read More

J Pediatr Orthop B 2022 Jul 24;31(4):359-364. Epub 2022 May 24.

Department of Orthoapedics and Spine Surgery, Ganga Hospital, Coimbatore, India.

The ideal management of an unstable slipped capital femoral epiphysis (SCFE) is still controversial. The currently available options are in-situ screw fixation with delayed corrective osteotomy, closed reduction and screw fixation and anatomic reduction by modified Dunn's procedure (MDP). We present the results of our technique of controlled re-positioning (CRP) with primary osteoplasty in which the epiphysis is repositioned to the preacute slip stage and a mini-open osteoplasty is done in the same sitting to avoid later femoro-acetabular impingement. Read More

J Child Orthop 2022 Feb 5;16(1):27-34. Epub 2022 Apr 5.

Department of Trauma and Orthopaedics, Alice Springs Hospital, Alice Springs, NT, Australia.

Purpose: The management of moderate and severe slipped capital femoral epiphysis is controversial. While in situ fixation is commonly used, the modified Dunn's procedure is increasingly popular within high-volume centers. We compared the clinical and radiological outcomes, as well as the rates of femoral head avascular necrosis or chondrolysis in patients managed with either modified Dunn's procedure or in situ fixation. Read More

J Endocr Soc 2022 Jun 7;6(6):bvac071. Epub 2022 May 7.

Division of Endocrinology, Department of Pediatrics, Boston Children's Hospital, Boston, MA 02115, USA.

Primary hyperparathyroidism has been reported in pediatric patients presenting with slipped capital femoral epiphysis (SCFE), but never in patients with ectopic parathyroid adenoma. A 12-year-old boy with obesity and autism spectrum disorder presented with a limp and was found to have bilateral SCFE. Calcium was elevated to 12. Read More

World J Orthop 2022 Apr 18;13(4):373-380. Epub 2022 Apr 18.

Department of Pediatric Orthopaedics, University of Alabama at Birmingham, Birmingham, AL 35233, United States.

Background: Currents trends in pediatric orthopaedics has seen an increase in surgeries being successfully completed in an outpatient setting. Two recent examples include slipped capital femoral epiphysis (SCFE) and Blount's disease. Surgical indications are well-studied for each pathology, but to our knowledge, there is an absence in literature analyzing safety and efficacy of inpatient outpatient management of either condition. Read More

Sports Health 2022 May 2:19417381221093045. Epub 2022 May 2.

Department of Orthopedic Surgery, Harvard University School of Medicine, Boston Children's Hospital, Boston, MA.

Background: Little data exist regarding the association of slipped capital femoral epiphysis (SCFE) and sporting activities.

Hypothesis: There is no association between SCFE and sporting activities.

Study Design: Retrospective review of all SCFE cases at our institution from 2010 through March 2021. Read More

J Am Acad Orthop Surg Glob Res Rev 2022 04 1;6(4). Epub 2022 Apr 1.

From the Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD.

Objective: The purpose of this study was to compare outcomes between orthopaedic trainees using various preoperative training platforms (physical simulation [PS], virtual reality [VR], and reading/videos) in a slipped capital femoral epiphysis model.

Methods: Participants were randomly assigned to one of the three groups: (1) reading/video control group (n = 7), (2) VR group (n = 7), or (3) PS group (n = 7). Participants in the VR group completed a VR slipped capital femoral epiphysis module while participants in the PS group practiced the placement of a screw in the physical module before evaluation of percutaneous screw placement in the PS model. Read More

J Clin Orthop Trauma 2022 May 1;28:101851. Epub 2022 Apr 1.

Texas Children's Hospital, 6701 Fannin Street, Houston, TX, 77030, USA.

In situ fixation of slipped capital femoral epiphysis (SCFE) results in residual deformity that can cause femoroacetabular impingement (FAI). It is unknown what factors could help differentiate patients who are more likely to become symptomatic. We performed a retrospective review of 55 hips treated with in situ pinning for SCFE and subsequent secondary deformity correction procedure for symptomatic FAI and compared them to 39 asymptomatic hips with SCFE deformity using multivariable analysis. Read More

Children (Basel) 2022 Mar 28;9(4). Epub 2022 Mar 28.

Pediatric Orthopedic Surgeon, Department of Pediatric Orthopedic Surgery, Emergency Hospital for Children "Grigore Alexandrescu", 011743 Bucharest, Romania.

Background: Slipped capital femoral epiphysis is due to proximal femur physis failure in adolescent patients. Early iatrogenic closure of proximal growth cartilage in children with significant residual growth potential causes complications such as coxa breva, coxa vara, and lower limb length inequalities. The Free-Gliding SCFE Screw System is a self-extending cannulated screw used in Slipped Capital Femoral Epiphysis (SCFE) fixation and femoral neck fractures. Read More

Cureus 2022 Mar 18;14(3):e23291. Epub 2022 Mar 18.

Orthopedics, University of Texas Health Science Center at Houston, Houston, USA.

Slipped capital femoral epiphysis (SCFE) is a common problem treated by pediatric orthopedic surgeons. A 13-year-old male presented with right-sided hip pain. Both sides, symptomatic and asymptomatic, were treated with a single 7. Read More

J Orthop Case Rep 2021 Nov;11(11):16-18

Department of Orthopedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.

Introduction: Slipped capital femoral epiphysis (SCFE) is rare in adults and is often associated with endocrine pathology.

Case Report: We report a case of a 21-year-old male presenting with an acute on chronic left hip SCFE who was diagnosed with primary hypothyroidism on the investigation. The patient was treated for hypothyroidism and positional reduction with in-situ fixation was carried out with two cannulated cancellous screws for the SCFE. Read More

Bone Joint J 2022 04;104-B(4):519-528

National Perinatal Epidemiology Unit, University of Oxford, Oxford, UK.

Aims: The aim of this study was to inform the epidemiology and treatment of slipped capital femoral epiphysis (SCFE).

Methods: This was an anonymized comprehensive cohort study, with a nested consented cohort, following the the Idea, Development, Exploration, Assessment, Long-term study (IDEAL) framework. A total of 143 of 144 hospitals treating SCFE in Great Britain participated over an 18-month period. Read More

J Pediatr Orthop B 2022 Mar 31. Epub 2022 Mar 31.

Department of Orthopaedic Surgery, Waikato Hospital.

YouTube is an increasingly accessible platform for families to obtain health information from; however, it is unregulated. The aim of this article was to assess the quality, reliability and accuracy of YouTube videos related to three common pediatric hip conditions: development dysplasia of the hip (DDH), slipped capital femoral epiphysis (SCFE) and Legg-Calve-Perthes disease. YouTube was searched using a variety of keyword combinations. Read More

J Pediatr Orthop 2022 Jul 24;42(6):e577-e582. Epub 2022 Mar 24.

Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.

Background: In situ screw fixation with a single percutaneously placed femoral screw remains widely accepted for femoral head fixation in adolescent patients with slipped capital femoral epiphysis (SCFE). Given the potential risks involved with this procedure, a simulation whereby surgical skills could be refined before entering the operating room may be of benefit to orthopaedic trainees.

Methods: We developed a synthetic model for the simulated treatment of SCFE. Read More

Cureus 2022 Feb 7;14(2):e21997. Epub 2022 Feb 7.

Orthopedic Surgery, Akita University Graduate School of Medicine, Akita, JPN.

Slipped capital femoral epiphysis (SCFE) generally occurs in adolescents but rarely in adults. Rapidly destructive coxopathy (RDC) is characterized by rapid joint destruction, including disruption of the joint at the femoral head and acetabulum as well as reduction of the joint space, within six to 12 months. The mechanism of RDC is likely multifactorial but has not yet been identified. Read More

J Bone Joint Surg Am 2022 05 7;104(10):902-909. Epub 2022 Mar 7.

Steadman Philippon Research Institute, Vail, Colorado.

Background: Because of the unique theoretical surgical risks, including osteonecrosis, acute iatrogenic slipped capital femoral epiphysis, and epiphyseal injury, the optimal treatment strategy for femoroacetabular impingement (FAI) in growing adolescents has yet to be established. The aim of this study was to compare the clinical outcomes of primary arthroscopic treatment of FAI in growing adolescents with a matched adult group.

Methods: Patients with FAI who underwent arthroscopic treatment with a minimum follow-up of 2 years were included. Read More

Biomed Rep 2022 Mar 3;16(3):22. Epub 2022 Feb 3.

Second Orthopaedic Department of General Children Hospital 'Agia Sofia', 11527 Athens, Greece.

The aim of this case report is to present a rare case of acute slipped femoral capital on a chronic slipped capital femoral epiphysis (SCFE) after spinal fusion due to idiopathic scoliosis. A 14 year old male patient underwent posterior spinal fusion due to idiopathic thoracic scoliosis. Post-operatively, the patient presented with acute pain in the left hip and a reduced range of motion, which revealed acute SCFE. Read More

J Pediatr Orthop 2022 May-Jun 01;42(5):e421-e426

Pediatric Surgery, Inselspital, Bern University Hospital, University of Bern.

Background: Slipped capital femoral epiphyses (SCFE) is associated with out-toeing of the foot and external rotation gait. But it is unknown if SCFE patients treated with the modified Dunn procedure have out-toeing at follow up.Therefore, we used instrumented gait analysis and questioned (1) do severe SCFE patients treated with a modified Dunn procedure have symmetrical foot progression angle (FPA) compared with contralateral side and compared with asymptomatic volunteers (2) what is the prevalence of out-toeing gait and what are the outcome socres at follow up. Read More

J Paediatr Child Health 2022 04 25;58(4):737-738. Epub 2022 Feb 25.

Department of Endocrinology, IMS and SUM Medical College and Hospital, Bhubaneswar, India.

J Pediatr Orthop 2022 May-Jun 01;42(5):e414-e420

Department of Orthopaedics, University of Utah.

Background: Slip progression after in situ fixation of slipped capital femoral epiphysis (SCFE) has been reported as occurring in up to 20% of patients. We review SCFE treated with in situ single screw fixation performed at 2 hospitals over a 15-year period to determine the factors associated with slip progression.

Methods: This case-control study reviews SCFE treated with in situ single cannulated screw fixation with minimum follow up of 1 year and full closure of the affected physis. Read More

EFORT Open Rev 2022 Feb 16;7(2):164-173. Epub 2022 Feb 16.

IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

The aim of this systematic review is to assess the role of the prophylactic fixation of contralateral unaffected hip in unilateral slipped capital femoral epiphysis (SCFE) in children, focusing on the possible complications of this surgical procedure. A systematic review of medical literature was conducted, according to the Preferred Reporting Items for Systematic review and Meta-Analysis (PRISMA) statement, to analyse the complications of prophylactic contralateral hip fixation in unilateral paediatric SCFE. We registered the complications reported in the included studies, scoring their severity according to the orthopaedic adaptation of Clavien-Dindo classification. Read More

Orthopade 2022 Mar 15;51(3):211-218. Epub 2022 Feb 15.

Universitätsklinik für Orthopädie und Unfallchirurgie, Klinische Abteilung für Orthopädie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

Background: Femoroacetabular impingement syndrome (FAIS) is a relevant cause of groin pain in adolescents. Athletes are particularly affected.

Objectives: The article shall provide an evidence-based background for FAIS counseling and therapy in adolescents. Read More

Sci Rep 2022 02 10;12(1):2256. Epub 2022 Feb 10.

Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, 06273, Korea.

Although leg length discrepancy (LLD) commonly occurs following in situ fixation with screws for slipped capital femoral epiphysis (SCFE), the literature regarding this issue is scarce. The purpose of this study was to evaluate the degree of LLD in patients who had been treated with in situ fixation with screws and to identify the risk factors for the development of LLD. We retrospectively reviewed 44 patients (mild slip 24, moderate slip, 20) who were treated with in situ fixation with screws for SCFE. Read More

J Pediatr Orthop 2022 Apr;42(4):e324-e330

Indiana University School of Medicine, Indianapolis, IN.

Background: The time to diagnosis in stable slipped capital femoral epiphysis (SCFE) is often several months because of nebulous history, symptoms of knee/thigh pain, and Medicaid insurance. This study examined the impact of socioeconomic status and demographics on the time to diagnosis and SCFE severity in Indiana children.

Methods: A retrospective review of all patients at a tertiary children's hospital with SCFE from January 2010 through March 2021 was performed. Read More

BMC Musculoskelet Disord 2022 Feb 7;22(Suppl 2):1064. Epub 2022 Feb 7.

Department of Clinical Sciences and Translational Medicine. Division of Orthopaedic Surgery, University of Rome "Tor Vergata", Viale Oxford 81, 00133, Rome, Italy.

Background: Treatment of SCFE is still controversial, especially in moderate and severe forms. Dunn osteotomy performed with the Ganz approach became very popular in the last decade, although it is a complicated and challenging surgical procedure with a risk of AVN. The aim of our study was to analyze the current literature verifying the effectiveness of this surgical procedure, with specific attention to the incidence of AVN and other complications. Read More