Imaging SCFE: diagnosis, treatment and complications

Slipped capital femoral epiphysis (SCFE) is a common orthopedic disorder in children. It can lead to avascular necrosis, cartilage loss, femoroacetabular impingent (FAI) and early osteoarthritis. The consequences of SCFE are worsened by delays in diagnosis and proper management. Radiography is the p...

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Bibliographic Details
Published in:Pediatric radiology 2013-03, Vol.43 (Suppl 1), p.71-82
Main Authors: Jarrett, Delma Y., Matheney, Travis, Kleinman, Paul K.
Format: Article
Language:English
Subjects:
Child
Child, Preschool
Diagnostic Imaging - methods
Female
Femur Head Necrosis - diagnosis
Femur Head Necrosis - etiology
Femur Head Necrosis - surgery
Humans
Imaging
Infant
Infant, Newborn
Male
Medicine
Medicine & Public Health
Neuroradiology
Nuclear Medicine
Oncology
Osteoarthritis, Hip - diagnosis
Osteoarthritis, Hip - etiology
Osteoarthritis, Hip - surgery
Pediatric Musculoskeletal Imaging: Beyond the Basics
Pediatrics
Radiology
Risk Assessment
Slipped Capital Femoral Epiphyses - complications
Slipped Capital Femoral Epiphyses - diagnosis
Slipped Capital Femoral Epiphyses - surgery
Ultrasound
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Summary:Slipped capital femoral epiphysis (SCFE) is a common orthopedic disorder in children. It can lead to avascular necrosis, cartilage loss, femoroacetabular impingent (FAI) and early osteoarthritis. The consequences of SCFE are worsened by delays in diagnosis and proper management. Radiography is the primary imaging modality used to evaluate SCFE; however, MR, CT and bone scintigraphy have important roles. Preoperatively, these modalities assist in surgical planning and predicting prognosis; postoperatively, they provide assessment of hardware failure, ischemic necrosis and morphology predisposing to FAI. Emphasizing a multimodality approach, this review addresses the imaging diagnosis of SCFE, the expected postoperative appearances and the findings of immediate and long-term complications.
ISSN:0301-0449
1432-1998
DOI:10.1007/s00247-012-2577-x