U.S. flag

An official website of the United States government

Format

Send to:

Choose Destination

Epiphysiolysis of the hip

MedGen UID:
57704
Concept ID:
C0149887
Disease or Syndrome
Synonyms: EPIPHYSIOLYSIS CAPITIS FEMORIS; Proximal femoral epiphysiolysis; Slipped femoral capital epiphyses
SNOMED CT: Non-traumatic slipped upper femoral epiphysis (26460006); SUFE - Slipped upper femoral epiphysis (26460006); Slipped upper femoral epiphysis (26460006); Nontraumatic slipped upper femoral epiphysis (26460006); Slipped femoral epiphysis (26460006)
 
HPO: HP:0006461
Monarch Initiative: MONDO:0018382
OMIM®: 182260

Definition

Slipped capital femoral epiphysis is defined as a posterior and inferior slippage of the proximal epiphysis of the femur onto the metaphysis (femoral neck), occurring through the physeal plate during the early adolescent growth spurt. [from HPO]

Clinical features

From HPO
Osteoarthritis, hip
MedGen UID:
14530
Concept ID:
C0029410
Disease or Syndrome
Osteoarthritis of the hip joint.
Epiphysiolysis of the hip
MedGen UID:
57704
Concept ID:
C0149887
Disease or Syndrome
Slipped capital femoral epiphysis is defined as a posterior and inferior slippage of the proximal epiphysis of the femur onto the metaphysis (femoral neck), occurring through the physeal plate during the early adolescent growth spurt.

Conditions with this feature

Multiple endocrine neoplasia type 2B
MedGen UID:
9959
Concept ID:
C0025269
Neoplastic Process
Multiple endocrine neoplasia type 2 (MEN2) includes the following phenotypes: MEN2A, familial medullary thyroid carcinoma (FMTC, which may be a variant of MEN2A), and MEN2B. All three phenotypes involve high risk for development of medullary carcinoma of the thyroid (MTC); MEN2A and MEN2B involve an increased risk for pheochromocytoma; MEN2A involves an increased risk for parathyroid adenoma or hyperplasia. Additional features of MEN2B include mucosal neuromas of the lips and tongue, distinctive facies with enlarged lips, ganglioneuromatosis of the gastrointestinal tract, and a marfanoid habitus. MTC typically occurs in early childhood in MEN2B, early adulthood in MEN2A, and middle age in FMTC.
Epiphysiolysis of the hip
MedGen UID:
57704
Concept ID:
C0149887
Disease or Syndrome
Slipped capital femoral epiphysis is defined as a posterior and inferior slippage of the proximal epiphysis of the femur onto the metaphysis (femoral neck), occurring through the physeal plate during the early adolescent growth spurt.
Microcephalic osteodysplastic primordial dwarfism type II
MedGen UID:
96587
Concept ID:
C0432246
Disease or Syndrome
Microcephalic osteodysplastic primordial dwarfism type II (MOPDII), the most common form of microcephalic primordial dwarfism, is characterized by extreme short stature and microcephaly along with distinctive facial features. Associated features that differentiate it from other forms of primordial dwarfism and that may necessitate treatment include: abnormal dentition, a slender bone skeletal dysplasia with hip deformity and/or scoliosis, insulin resistance / diabetes mellitus, chronic kidney disease, cardiac malformations, and global vascular disease. The latter includes neurovascular disease such as moyamoya vasculopathy and intracranial aneurysms (which can lead to strokes), coronary artery disease (which can lead to premature myocardial infarctions), and renal vascular disease. Hypertension, which is also common, can have multiple underlying causes given the complex comorbidities.
Cerebellar-facial-dental syndrome
MedGen UID:
863932
Concept ID:
C4015495
Disease or Syndrome
Cerebellofaciodental syndrome is an autosomal recessive neurodevelopmental disorder characterized by delayed development, intellectual disability, abnormal facial and dental findings, and cerebellar hypoplasia (summary by Borck et al., 2015).
Shwachman-Diamond syndrome 1
MedGen UID:
1640046
Concept ID:
C4692625
Disease or Syndrome
Shwachman-Diamond syndrome (SDS) is characterized by exocrine pancreatic dysfunction with malabsorption, malnutrition, and growth failure; hematologic abnormalities with single- or multilineage cytopenias and susceptibility to myelodysplastic syndrome (MDS) and acute myelogenous leukemia (AML); and bone abnormalities. In almost all affected children, persistent or intermittent neutropenia is an early finding. Short stature and recurrent infections are common.
Progressive spondyloepimetaphyseal dysplasia-short stature-short fourth metatarsals-intellectual disability syndrome
MedGen UID:
1800305
Concept ID:
C5568882
Disease or Syndrome
A rare genetic multiple congenital anomalies/dysmorphic syndrome characterised by global developmental delay and intellectual disability, progressive spondyloepimetaphyseal dysplasia, short stature, short fourth metatarsals, and dysmorphic craniofacial features (including microcephaly, hypertelorism, epicanthal folds, mild ptosis, strabismus, malar hypoplasia, short nose, depressed nasal bridge, full lips, small, low-set ears, and short neck). Craniosynostosis, generalised hypotonia, as well as asymmetry of the cerebral hemispheres and mild thinning of the corpus callosum on brain imaging have also been described.

Professional guidelines

PubMed

Dijkstra HP, Ardern CL, Serner A, Mosler AB, Weir A, Roberts NW, Mc Auliffe S, Oke JL, Khan KM, Clarke M, Glyn-Jones S
Br J Sports Med 2021 Nov;55(21):1212-1221. Epub 2021 Jul 19 doi: 10.1136/bjsports-2020-103308. PMID: 34281962Free PMC Article
Peck DM, Voss LM, Voss TT
Am Fam Physician 2017 Jun 15;95(12):779-784. PMID: 28671425
Imam S, Khanduja V
Int Orthop 2011 Oct;35(10):1427-35. Epub 2011 Jul 14 doi: 10.1007/s00264-011-1278-7. PMID: 21755334Free PMC Article

Recent clinical studies

Etiology

Karout L, Naffaa L
Radiol Clin North Am 2022 Jan;60(1):149-163. doi: 10.1016/j.rcl.2021.08.007. PMID: 34836561
Parcells BW
Pediatr Clin North Am 2020 Feb;67(1):139-152. doi: 10.1016/j.pcl.2019.09.003. PMID: 31779829
Sucato DJ
J Pediatr Orthop 2018 Jul;38 Suppl 1:S5-S12. doi: 10.1097/BPO.0000000000001183. PMID: 29877938
Aprato A, Leunig M, Massé A, Slongo T, Ganz R
Bone Joint J 2017 Jan;99-B(1):16-21. doi: 10.1302/0301-620X.99B1.BJJ-2016-0575. PMID: 28053252
Jayakumar P, Ramachandran M, Youm T, Achan P
J Bone Joint Surg Br 2012 Mar;94(3):290-6. doi: 10.1302/0301-620X.94B3.26957. PMID: 22371532

Diagnosis

Schroeder PB, Nicholes MA, Schmitz MR
Clin Sports Med 2021 Apr;40(2):385-398. Epub 2021 Feb 5 doi: 10.1016/j.csm.2020.12.003. PMID: 33673894
Parcells BW
Pediatr Clin North Am 2020 Feb;67(1):139-152. doi: 10.1016/j.pcl.2019.09.003. PMID: 31779829
Schmitz MR, Blumberg TJ, Nelson SE, Sees JP, Sankar WN
J Pediatr Orthop 2018 Jul;38(6):e300-e304. doi: 10.1097/BPO.0000000000001166. PMID: 29554020
Peck DM, Voss LM, Voss TT
Am Fam Physician 2017 Jun 15;95(12):779-784. PMID: 28671425
Imam S, Khanduja V
Int Orthop 2011 Oct;35(10):1427-35. Epub 2011 Jul 14 doi: 10.1007/s00264-011-1278-7. PMID: 21755334Free PMC Article

Therapy

Wadström MG, Hailer YD
Pain Physician 2022 Oct;25(7):E1153-E1160. PMID: 36288602
Saito M, Kuroda Y, Sunil Kumar KH, Khanduja V
Arthroscopy 2021 Jun;37(6):1973-1982. Epub 2020 Dec 25 doi: 10.1016/j.arthro.2020.12.213. PMID: 33359821
Sucato DJ, De La Rocha A
J Pediatr Orthop 2014 Oct-Nov;34 Suppl 1:S18-24. doi: 10.1097/BPO.0000000000000297. PMID: 25207732
Rebello G, Spencer S, Millis MB, Kim YJ
Clin Orthop Relat Res 2009 Mar;467(3):724-31. Epub 2008 Nov 12 doi: 10.1007/s11999-008-0591-y. PMID: 19002743Free PMC Article
Tudisco C, Caterini R, Farsetti P, Potenza V
J Pediatr Orthop B 1999 Apr;8(2):107-11. PMID: 10218171

Prognosis

Weinstein SL
Clin Orthop Relat Res 1997 Nov;(344):227-42. PMID: 9372774
Millis MB, Poss R, Murphy SB
Instr Course Lect 1992;41:145-54. PMID: 1588059
Choi IH, Pizzutillo PD, Bowen JR, Dragann R, Malhis T
J Bone Joint Surg Am 1990 Sep;72(8):1150-65. PMID: 2398085
Aronson J
Instr Course Lect 1986;35:119-28. PMID: 3819398
Harris WH
Clin Orthop Relat Res 1986 Dec;(213):20-33. PMID: 3780093

Clinical prediction guides

Huebschmann NA, Masrouha KZ, Dib A, Moscona L, Castañeda P
J Pediatr Orthop 2023 Apr 1;43(4):227-231. Epub 2023 Jan 19 doi: 10.1097/BPO.0000000000002352. PMID: 36727976
Saito M, Kuroda Y, Sunil Kumar KH, Khanduja V
Arthroscopy 2021 Jun;37(6):1973-1982. Epub 2020 Dec 25 doi: 10.1016/j.arthro.2020.12.213. PMID: 33359821
Wako M, Koyama K, Takayama Y, Haro H
Medicine (Baltimore) 2020 Apr;99(14):e19600. doi: 10.1097/MD.0000000000019600. PMID: 32243382Free PMC Article
Parcells BW
Pediatr Clin North Am 2020 Feb;67(1):139-152. doi: 10.1016/j.pcl.2019.09.003. PMID: 31779829
Awwad AB, Hennrikus WL, Armstrong DG
J Surg Orthop Adv 2018 Spring;27(1):58-63. PMID: 29762118

Recent systematic reviews

Chervonski E, Wingo T, Pargas-Colina C, Castañeda P
J Pediatr Orthop B 2024 Sep 1;33(5):437-442. Epub 2023 Oct 9 doi: 10.1097/BPB.0000000000001139. PMID: 37811577Free PMC Article
Saito M, Kuroda Y, Sunil Kumar KH, Khanduja V
Arthroscopy 2021 Jun;37(6):1973-1982. Epub 2020 Dec 25 doi: 10.1016/j.arthro.2020.12.213. PMID: 33359821
Assi C, Mansour J, Kouyoumdjian P, Yammine K
J Pediatr Orthop B 2021 Mar 1;30(2):116-122. doi: 10.1097/BPB.0000000000000758. PMID: 32558777

Supplemental Content

Table of contents

    Clinical resources

    Practice guidelines

    • PubMed
      See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the FAQ for details.

    Recent activity

    Your browsing activity is empty.

    Activity recording is turned off.

    Turn recording back on

    See more...