Slipped capital femoral epiphysis: still an emergency.
ABSTRACT Two case histories are presented in which acute progression of slipped capital femoral epiphysis occurred after a radiographic diagnosis of chronic slipped capital femoral epiphysis had been made. The importance of recognizing the potential for acute progression of a slipped epiphysis and the need for prompt orthopedic intervention are emphasized.
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ABSTRACT: Slipped capital femoral epiphysis (SCFE), though a relatively common disorder, is frequently missed on initial presentation. Symptoms can be vague, the physical examination unrevealing, and radiographic abnormalities subtle. Prompt diagnosis of SCFE is important, however, to improve clinical outcome. The emergency physician needs to remain vigilant for this diagnosis to avoid this orthopedic pitfall. This article examines the clinical presentation, diagnostic techniques, and management options applicable to the emergency physician in the treatment of SCFE.American Journal of Emergency Medicine 10/2002; 20(5):484-7. · 1.70 Impact Factor