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Slipped Capital Femoral Epiphysis

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European Instructional Lectures

Most osteoarthritis (OA) of the young adult hip is secondary to paediatric or developmental hip disorders. Besides Developmental Dysplasia of the hip and Perthes disease, slipped capital femoral epiphysis (SCFE), the displacement of the epiphysis from the metaphysis, is amongst the most common disorders of the young and adolescent hip. There is a correlation between the severity of slippage and the long-term outcome in affected patients with less favourable outcome for the more severe slips [1–3].

The aetiology of SCFE is complex and multi-factorial. Affected patients are generally between the ages of 11 and 15 years. There is evidence that the mean age of onset has decreased during the last part of the twentieth century, possibly because of a decrease in the age of puberty. Boys are affected almost twice as often as girls and at a later age and approximately in the same pubertal period. The incidence is reported to be about 4–5 per 1,00,000 for all patients in pre-puberty and puberty with a signifi cant variation among different populations. There is a higher incidence in groups with higher mean body-weight with the left hip slightly more often affected than the right [4].

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  1. Department of Orthopaedic Surgery, University Hospital of Düsseldorf, Moorenstrasse 5, Düsseldorf, 40225, Germany

    C. Zilkens, M. Jäger, Y-J. Kim, M.B. Millis & R. Krauspe

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  1. C. Zilkens
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  1. Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, HA 7 4LP, UK

    George Bentley

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Zilkens, C., Jäger, M., Kim, YJ., Millis, M., Krauspe, R. (2009). Slipped Capital Femoral Epiphysis. In: Bentley, G. (eds) European Instructional Lectures. European Federation of National Associations of Orthopaedics and Traumatology, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-00966-2_6

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  • DOI: https://doi.org/10.1007/978-3-642-00966-2_6

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-00965-5

  • Online ISBN: 978-3-642-00966-2

  • eBook Packages: MedicineMedicine (R0)

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