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Advanced Technical IVT

slipped capital femoral epiphysis

Pronunciation: eh-PIF-ih-sis

A hip condition in adolescents where the femoral head slips off the neck through the growth plate, requiring urgent orthopedic intervention.

Full Definition

A serious hip condition typically affecting adolescents aged 11-16, where the capital femoral epiphysis (ball of the hip joint) displaces through the growth plate, usually in a posterior and inferior direction. Often abbreviated as SCFE, this condition is more common in boys and is associated with obesity and endocrine disorders. Presentation may be acute, chronic, or acute-on-chronic. Immediate recognition and treatment are crucial to prevent devastating complications such as avascular necrosis and chondrolysis.

Usage

Usage note: Commonly abbreviated as SCFE; distinguish from SUFE (slipped upper femoral epiphysis), which is the same condition.

In Context

  • "The adolescent's hip pain and limp raised concern for slipped capital femoral epiphysis." — Emergency department assessment
  • "Bilateral screening is essential when slipped capital femoral epiphysis is diagnosed unilaterally." — Surgical planning discussion

Also known as

SCFE

Don't confuse with

hip fracture septic arthritis SUFE

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