Page 35 - Slipped Capital Femoral Epiphysis Pathogenetic and Clinical aspects

Conclusions.
Slipped capital femoral epiphysis (SCFE) is the most common adolescent hip
disorder. Historically, the disorder was more common in boys, but recently sex
ratios have become more even. In the Asian and Western literature an increase in 2 incidence of SCFE has been found. Rising incidence is most likely due to increased
BMI amongst children. The debate whether the disorder is more biomechanical,
or biochemical or a combination of both is ongoing. The standard treatment for
stable SCFE is single screw fixation. There is extensive discussion in the current
literature regarding the treatment of unstable slip, treatment with different kinds
of corrective osteotomies, necessity of contralateral pinning and, lastly, on the
treatment and prevention of AVN and FAI to improve the outcome of all patients
with SCFE.
Slipped Capital Femoral Epiphysis
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