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Slipped Capital Femoral Epiphysis

Slipped Capital Femoral Epiphysis is a topic covered in the Select 5-Minute Pediatrics Topics.

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  • Slipped capital femoral epiphysis (SCFE) is displacement of the epiphysis of the head of the femur.


  • Males > females (3:2)
  • Left hip twice as often as right, 25% bilateral
  • Associated with obesity, increased height, genital underdevelopment, pituitary tumors, growth hormone therapy


  • 1–5 per 100,000
  • Age of onset: boys, 14–16 years; girls, 11–13 years (essentially, premenarche)

Risk Factors


5% of children affected have a parent with SCFE.


  • Unclear: abnormal stress on normal physeal plate versus a process that weakens the plate
  • The femoral head slips posteriorly and inferiorly, exposing the anterior and superior aspects of the metaphysis of the femoral neck.

Commonly Associated Conditions

  • Obesity
  • Endocrine dysfunction
  • Primary hypothyroidism
  • Pituitary dysfunction
  • Hypogonadism
  • Cryptorchidism
  • Chemotherapy
  • Pelvic radiotherapy
  • Renal rickets

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Cabana, Michael D., editor. "Slipped Capital Femoral Epiphysis." Select 5-Minute Pediatrics Topics, 7th ed., Wolters Kluwer Health, 2015. Medicine Central, im.unboundmedicine.com/medicine/view/Select-5-Minute-Pediatric-Consult/14098/all/Slipped_Capital_Femoral_Epiphysis.
Slipped Capital Femoral Epiphysis. In: Cabana MD, ed. Select 5-Minute Pediatrics Topics. 7th ed. Wolters Kluwer Health; 2015. https://im.unboundmedicine.com/medicine/view/Select-5-Minute-Pediatric-Consult/14098/all/Slipped_Capital_Femoral_Epiphysis. Accessed April 25, 2019.
Slipped Capital Femoral Epiphysis. (2015). In Cabana, M. D. (Ed.), Select 5-Minute Pediatrics Topics. Available from https://im.unboundmedicine.com/medicine/view/Select-5-Minute-Pediatric-Consult/14098/all/Slipped_Capital_Femoral_Epiphysis
Slipped Capital Femoral Epiphysis [Internet]. In: Cabana MD, editors. Select 5-Minute Pediatrics Topics. Wolters Kluwer Health; 2015. [cited 2019 April 25]. Available from: https://im.unboundmedicine.com/medicine/view/Select-5-Minute-Pediatric-Consult/14098/all/Slipped_Capital_Femoral_Epiphysis.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Slipped Capital Femoral Epiphysis ID - 14098 ED - Cabana,Michael D, BT - Select 5-Minute Pediatrics Topics UR - https://im.unboundmedicine.com/medicine/view/Select-5-Minute-Pediatric-Consult/14098/all/Slipped_Capital_Femoral_Epiphysis PB - Wolters Kluwer Health ET - 7 DB - Medicine Central DP - Unbound Medicine ER -