8 papers · updated 2026-10-19 · Pediatric Orthopaedics · All topics
The newest papers on slipped capital femoral epiphysis from the orthopaedic journals The Reduction reads, newest first, each with a one-line summary. The list is drawn from the digest’s archive and refreshed every week.
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In 14 hips with severe SCFE, a modified Dunn osteotomy without surgical hip dislocation corrected deformity with excellent mid-term scores and one case of avascular necrosis, suggesting a possible vascularity-sparing alternative.
Obesity accelerates skeletal maturation by about a year and raises SCFE risk through body weight effects, not by altering proximal femoral morphology once maturity is accounted for.
In moderate/severe SCFE, temporary in situ pinning followed by delayed modified Dunn gave similar complication and outcome rates to primary modified Dunn, offering a safe bridging strategy when an experienced hip surgeon isn't immediately available.
In a small cohort, elevated D-dimer correlated with SCFE severity and contralateral slip risk, modestly improving predictive model accuracy (AUC 0.73→0.87), suggesting a possible adjunct biomarker though the improvement wasn't statistically significant.
In slipped capital femoral epiphysis, percent epiphyseal displacement most strongly predicts flexion and abduction loss, while slip angle predicts internal rotation loss.
Anterior screw placement in slipped capital femoral epiphysis is associated with greater Southwick angle improvement, though clinical significance is limited.
Slipped Capital Femoral Epiphysis Associated with Endocrinopathy: A Narrative Review.
SCFE is linked to endocrine disorders; presentation before age 10 or after 16 with height under the 10th percentile flags children for endocrine testing, and unilateral cases warrant prophylactic contralateral fixation.
Diagnosis and Management of Unstable Slipped Capital Femoral Epiphysis: A Critical Analysis Review.
This 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.
The Epidemiology of Slipped Capital Femoral Epiphysis
National inpatient data show SCFE incidence of 10.8 per 100,000 children, higher in boys, black and Hispanic children, and varying by region and season, implicating both environmental and genetic factors.
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