0
Instructional Course Lecture   |    
Slipped Capital Femoral Epiphysis*†
Randall T. Loder, M.D.‡; David D. Aronsson, M.D.§; Matthew B. Dobbs, M.D.#; Stuart L. Weinstein, M.D.#
View Disclosures and Other Information
An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.
†Printed with permission of the American Academy of Orthopaedic Surgeons. This article, as well as other lectures presented at the Academy's Annual Meeting, will be available in March 2001 in Instructional Course Lectures, Volume 50. The complete volume can be ordered online at www.aaos.org, or by calling 800-626-6726 (8 a.m.-5 p.m., Central time).
‡Shriners Hospital for Children, 2025 East River Parkway, Minneapolis, Minnesota 55414. E-mail address: rloder@shrinenet.org.
§University of Vermont, Robert T. Stafford Hall, Room 434B, Burlington, Vermont 05405-0084. E-mail address: daronsso@zoo.uvm.edu.
#University of Iowa Hospitals and Clinics, 200 Hawkins Drive, Suite 01026 JPP, Iowa City, Iowa 52242. E-mail address for S. L. Weinstein: stuart-weinstein@uiowa.edu.

J Bone Joint Surg Am, 2000 Aug 01;82(8):1170-1170
5 Recommendations (Recommend) | 3 Comments | Saved by 3 Users Save Case

Extract

Slipped capital femoral epiphysis is a well known disorder of the hip in adolescents that is characterized by displacement of the capital femoral epiphysis from the metaphysis through the physis. The term slipped capital femoral epiphysis is a misnomer because the epiphysis is held in the acetabulum by the ligamentum teres, and thus it is actually the metaphysis that moves upward and outward while the epiphysis remains in the acetabulum. In most patients, there is an apparent varus relationship between the head and the neck, but occasionally the slip is into a valgus position, with the epiphysis displaced superiorly in relation to the neck106,109. In the vast majority of cases, the etiology is unknown. Although the condition may be associated with a known endocrine disorder71,77,129, with renal failure osteodystrophy74, or with previous radiation therapy75,77, this Instructional Course Lecture deals only with idiopathic slipped capital femoral epiphysis.
Figures in this Article

    First Page Preview

    View Large
    />
    First page PDF preview
    Sign In to Your Personal ProfileSign In To Access Full Content
    Not a Subscriber?
    Get online access for 30 days for $35
    New to JBJS?
    Sign up for a full subscription to both the print and online editions
    Register for a FREE limited account to get full access to all CME activities, to comment on public articles, or to sign up for alerts.
    Register for a FREE limited account to get full access to all CME activities
    Have a subscription to the print edition?
    Current subscribers to The Journal of Bone & Joint Surgery in either the print or quarterly DVD formats receive free online access to JBJS.org.
    Forgot your password?
    Enter your username and email address. We'll send you a reminder to the email address on record.

     
    Forgot your username or need assistance? Please contact customer service at subs@jbjs.org. If your access is provided
    by your institution, please contact you librarian or administrator for username and password information. Institutional
    administrators, to reset your institution's master username or password, please contact subs@jbjs.org

    References

    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
    CME Activities Associated with This Article
    Submit a Comment
    Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
    Comments are moderated and will appear on the site at the discretion of JBJS editorial staff.

    * = Required Field
    (if multiple authors, separate names by comma)
    Example: John Doe





    Related Content
    The Journal of Bone & Joint Surgery
    JBJS Case Connector
    Topic Collections
    Related Audio and Videos
    PubMed Articles
    Guidelines
    Results provided by:
    PubMed
    Clinical Trials
    Readers of This Also Read...
    JBJS Jobs
    12/31/2013
    S. Carolina - Department of Orthopaedic Surgery Medical Univerity of South Carlonina
    04/02/2014
    W. Virginia - Charleston Area Medical Center
    02/28/2014
    District of Columbia (DC) - Children's National Medical Center
    12/04/2013
    New York - Icahn School of Medicine at Mount Sinai