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2017 ; 11
(2
): 93-98
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SCFE: clinical aspects, diagnosis, and classification
#MMPMID28529655
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J Child Orthop
2017[Apr]; 11
(2
): 93-98
PMID28529655
show ga
PURPOSE: This article seeks to improve treatment outcomes in slipped capital
femoral epiphysis (SCFE) by outlining advances in diagnosis, understanding of
pathomechanics, and mechanically-based classification. METHODS: Review of
clinical experience with SCFE at our high-volume centre, interaction with other
clinical experts, and literature review has allowed a current perspective to be
articulated. RESULTS: SCFE remains an important clinical problem, with late
diagnosis still frequent. Improved understanding of the ubiquity of
femoroacetabular impingement has guided current classification and treatment
protocols. CONCLUSION: SCFE is an important clinical problem, with high
historical rates of impaired hip function both in childhood and adulthood. Great
opportunities exist for improved outcomes following earliest possible clinical
diagnosis, modern imaging, and mechanically-based classification of involved hips
to allow optimal treatment.