Slipped capital femoral epiphysis
Slipped capital femoral epiphysis
Slipped capital (or upper) femoral epiphysis occurs during periods of rapid growth in adolescence, when shear forces, particularly in obese children, increase across the proximal femoral growth plate, leading to displacement of the epiphysis. The typical patient is obese. In a recent case study of 54 patients with this condition, all had body mass indexes in the overweight or obese ranges.1 In boys, accompanying hypogonadism implicates possible endocrine causes.2 A chronic slip is the most common presentation, with symptoms present for weeks or months as the slip progresses. An acute slip occurs after a traumatic event and prevents weight bearing, whereas in an acute on chronic slip, prodromal symptoms are followed by a sudden exacerbation of pain. The last two types of slip usually present to the emergency department rather than the general practitioner.
1198-1199
Clarke, N.M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
2009
Clarke, N.M.P.
76688c21-d51e-48fa-a84d-deec66baf8ac
Kendrick, Tony
c697a72c-c698-469d-8ac2-f00df40583e5
Clarke, N.M.P. and Kendrick, Tony
(2009)
Slipped capital femoral epiphysis.
BMJ, 339 (4457), .
(doi:10.1136/bmj.b4457).
Abstract
Slipped capital (or upper) femoral epiphysis occurs during periods of rapid growth in adolescence, when shear forces, particularly in obese children, increase across the proximal femoral growth plate, leading to displacement of the epiphysis. The typical patient is obese. In a recent case study of 54 patients with this condition, all had body mass indexes in the overweight or obese ranges.1 In boys, accompanying hypogonadism implicates possible endocrine causes.2 A chronic slip is the most common presentation, with symptoms present for weeks or months as the slip progresses. An acute slip occurs after a traumatic event and prevents weight bearing, whereas in an acute on chronic slip, prodromal symptoms are followed by a sudden exacerbation of pain. The last two types of slip usually present to the emergency department rather than the general practitioner.
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Published date: 2009
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Local EPrints ID: 72035
URI: http://eprints.soton.ac.uk/id/eprint/72035
ISSN: 0959-8138
PURE UUID: 1eff50fd-533f-48bf-a4b5-5a322eb26db8
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Date deposited: 15 Jan 2010
Last modified: 14 Mar 2024 02:42
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