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➕ Slipped Capital Femoral Epiphysis
✅ Definition & Epidemiology
- Slipped Capital Femoral Epiphysis is a common adolescent hip condition affecting the proximal femoral physis.
- More common in boys, with onset at 10-17 years (boys) and 8-15 years (girls).
✅ Pathophysiology
- Salter-Harris Type I growth plate injury due to mechanical stress and hormonal factors.
- Initial pre-slip phase: widened growth plate, physeal irregularity, and metaphyseal demineralization.
- Acute slip: Posteromedial displacement of the epiphysis.
- Chronic slip: Sclerotic physis, widened metaphysis (coxa magna).
✅ Radiographic Findings
- Frog-leg lateral view best visualizes posterior displacement.
- AP Hip View Findings:
✅ Key Takeaways
- Early detection is crucial for preventing complications.
- Frog-leg lateral view is superior to AP for diagnosis.
- Look for Klein’s line disruption and metaphyseal blanch sign on AP.
#SUFE, #SCFE, #HipInjury, #SalterHarris, #KleinLine, #TrethowanSign, #Orthopedics, #Pediatrics, #MSKRadiology, #HipPain
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