Department of Orthopaedic Surgery, Henry Ford Hospital, Detroit, MI 48202, USA.
Orthopaedic Surgery, William Beaumont Hospital, 30575 Woodward Avenue, Royal Oak, MI 48073, USA.
Pediatr Clin North Am. 2014 Dec;61(6):1119-35. doi: 10.1016/j.pcl.2014.08.001. Epub 2014 Sep 26.
Slipped capital femoral epiphysis (SCFE) involves displacement of the proximal femoral metaphysis relative to a fixed epiphysis, usually during a period of rapid growth and unique physeal susceptibility. Patients have characteristic clinical, histologic, and radiologic features. Several clinical signs and medical diagnoses should prompt radiologic and laboratory workup. Limp or hip or knee pain in a patient 10 to 16 years old should include SCFE in the differential. If confirmed, appropriate treatment involves proximal femoral physeal stabilization and/or realignment. The optimal surgical treatment of severe SCFE and its late sequela remain an evolving and controversial subject.
股骨头骨骺滑脱症（SCFE）涉及股骨近端干骺端相对于固定骨骺的移位，通常发生在快速生长和独特骺板易感性的时期。患者具有特征性的临床、组织学和影像学特征。几种临床体征和医学诊断应提示进行影像学和实验室检查。10 至 16 岁的患者出现跛行或髋关节或膝关节疼痛时，应将 SCFE 纳入鉴别诊断。如果确诊，适当的治疗包括股骨近端骺板稳定和/或矫正。严重 SCFE 及其晚期后遗症的最佳手术治疗仍然是一个不断发展和有争议的话题。
