Complications Related to the Treatment of Slipped Capital Femoral Epiphysis

John Roaten; David D Spence

doi:10.1016/j.ocl.2015.09.013

Complications Related to the Treatment of Slipped Capital Femoral Epiphysis

Orthop Clin North Am. 2016 Apr;47(2):405-13. doi: 10.1016/j.ocl.2015.09.013.

Authors

John Roaten¹, David D Spence²

Affiliations

¹ Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA.
² Department of Orthopaedic Surgery & Biomedical Engineering, University of Tennessee-Campbell Clinic, 1211 Union Avenue, Suite 510, Memphis, TN 38104, USA. Electronic address: dspence@campbellclinic.com.

PMID: 26772949
DOI: 10.1016/j.ocl.2015.09.013

Abstract

Slipped capital femoral epiphysis (SCFE) is a condition of the immature hip in which mechanical overload of the proximal femoral physis results in anterior and superior displacement of the femoral metaphysis relative to the epiphysis. The treatment of SCFE is surgical, as the natural history of nonsurgical treatment is slip progression and early arthritis. Despite advances in treatment, much controversy exists regarding the best treatment, and complication rates remain high. Complications include osteonecrosis, chondrolysis, SCFE-induced impingement, and related articular degeneration, fixation failure and deformity progression, growth disturbance of the proximal femur, and development of bilateral disease.

Keywords: Chondrolysis; Complications; Impingement; Osteoarthritis; Osteonecrosis; Slipped capital femoral epiphysis.

Publication types

Review

MeSH terms

Hip Joint*
Humans
Joint Diseases / diagnosis
Joint Diseases / etiology*
Joint Diseases / prevention & control
Slipped Capital Femoral Epiphyses / complications*
Slipped Capital Femoral Epiphyses / diagnosis
Slipped Capital Femoral Epiphyses / surgery*