Drs Richard Warne and Michael Mason on slipped capital femoral epiphysis
Imaging of slipped capital femoral epiphysis.
By Drs Richard Warne and Michael Mason, radiologists, Wembley & Perth
Slipped capital femoral epiphysis (SCFE), or slip, is a disorder of the proximal femoral growth plate leading to slippage of the epiphysis relative to the metaphysis. It is one of the most commonly missed diagnoses in children, which can result in delayed treatment and increased morbidity.
SCFE is an important diagnosis to consider in the adolescent with hip pain
Delayed diagnosis leads to increased severity of SCFE and greater risk of complications
Radiographs are the best first-line investigation with MRI useful for very early slips (can be occult on radiographs) or other pathology.