Diagnosis and Management of Unstable Slipped Capital Femoral Epiphysis: A Critical Analysis Review.

JBJS Rev · Jul 16 2021 · Review

Cazzulino A, Wu W, Allahabadi S, Swarup I

Division of Pediatric Orthopaedic Surgery, UCSF Benioff Children's Hospital, University of California San Francisco

Orthopaedic Trauma

SUMMARY — THE REDUCTIONThis critical analysis review covers diagnosis and management options (closed/open reduction, capital realignment) for unstable slipped capital femoral epiphysis, noting current techniques show lower osteonecrosis rates than historically reported, though comparative data remain needed.
Abstract, as published

»: An unstable slipped capital femoral epiphysis (SCFE) is characterized by the inability to walk and is associated with a high risk of osteonecrosis.

»: An unstable SCFE is less common than a stable SCFE; however, the demographics are similar in both groups of patients with SCFE.

»: The diagnosis of an unstable SCFE is characterized by a history of antecedent pain and the inability to walk on examination, and it is confirmed by radiographic assessment.

»: Management of an unstable SCFE includes closed reduction, open reduction, and capital realignment, which have all been noted to have lower rates of osteonecrosis than reported in historic reports.

»: All management approaches have certain advantages and disadvantages, and comparative studies are needed to guide clinical decision-making.

Read the article: PubMed · Publisher (DOI)

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