Slipped capital femoral epiphysis: diagnosis, classification and controversies in management

Abstract

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder affecting adolescents, and can be encountered by any surgeon who sees children as part of their on-call commitment. There are a number of diagnostic and management challenges associated with this condition, in particular in how to manage children with severe and unstable disease. This article covers the diagnosis and classification of SCFE, allowing recognition of those patients requiring specialist paediatric referral. The surgical management of SCFE, including complex cases, is also discussed.