Slipped upper femoral epiphyses (SUFE)

Question 1

What is the summary of pathophysiology of slipped capital femoral epiphysis (SCFE)?

Answer 1

displacement of the epiphysis of the femoral head postero-inferiorly

Question 2

In what age group is SCFE most common?

Answer 2

children aged 10-15 years of age

Question 3

In what gender is SCFE most common?

Answer 3

boys

Question 4

How does slipped capital femoral epiphysis typically present?

Answer 4

with limp or pain in the hip,

with a referred to the knee

Question 5

What the examination findings of SCFE on physical examination of the hip?

Answer 5

• restricted abduction of the hip
• limited internal rotation of the hip

Question 6

What are aims of investigation in a suspected slipped capital femoral epiphysis?

Answer 6

1. to visualise the SCFE
2. to exclude worrying pathology

Question 7

What is the imaging investigation for slipped capital femoral epiphysis?

Answer 7

X-ray

Question 8

What X-ray view is requested for SCFE?

Answer 8

frog-lateral view

Question 9

What X-ray finding is present in slipped capital femoral epiphysis (SUFE)?

Answer 9

Trethowan’s sign

Question 11

What is Trethowan’s sign?

Answer 11

line of Klein does not intersect superior femoral epiphyses/asymmetry between line of Klein’s on either side

Question 13

What is the aim of management of slipped capital femoral epiphysis?

Answer 13

to stabilise the hip

Question 14

What is the management of slipped capital femoral epiphysis?

Answer 14

in situ pin fixation