Zelaya Rainel, Zarka Anthony, Byerly Douglas
Radiology, Brooke Army Medical Center, Fort Sam Houston, USA.
Pediatric Radiology, Baylor College of Medicine/Children's Hospital of San Antonio, San Antonio, USA.
Cureus. 2021 Mar 9;13(3):e13775. doi: 10.7759/cureus.13775.
Slipped capital femoral epiphysis (SCFE) is an abnormality of the proximal femoral physis typically occurring in adolescents and most commonly associated with obesity, although its exact etiology is unknown. In addition to obesity, other associations and predisposing factors proposed in the literature include trauma, vascular injury or compromise, and immunologic, genetic, and metabolic conditions. While not common, metabolic conditions are known to predispose to SCFE and it is essential for radiologists to recognize SCFE as a possible initial presentation of an underlying metabolic disorder. Understanding imaging findings and identification of atypical presentations of SCFE by radiologists can assist clinicians in guiding workup and lead to expedited treatment to prevent worsening outcomes associated with developmental delay.
股骨头骨骺滑脱（SCFE）是一种股骨近端骨骺异常，通常发生于青少年，最常见于肥胖者，但其确切病因尚不清楚。除肥胖外，文献中提出的其他相关因素和易感因素包括创伤、血管损伤或受损以及免疫、遗传和代谢状况。虽然不常见，但已知代谢状况易引发SCFE，放射科医生必须认识到SCFE可能是潜在代谢紊乱的初始表现。放射科医生了解影像学表现并识别SCFE的非典型表现，有助于临床医生指导检查，并加快治疗，以防止与发育迟缓相关的不良后果恶化。
