{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:19:09Z","timestamp":1759537149079,"version":"build-2065373602"},"reference-count":50,"publisher":"BMJ","issue":"9","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,8,20]]},"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:p>Slipped capital femoral epiphysis (SCFE) is a rare occurrence in the paediatric hip. Diagnosis is challenging. It may have an insidious onset. It has potentially devastating consequences for the paediatric hip. There may also be sequelae that persist until adulthood. The femoral epiphysis typically remains in the acetabulum, and the femoral metaphysis displaces anterosuperiorly, leading to the typical sequelae of a shortened, externally rotated leg that exhibits obligate external rotation with flexion. The authors present a case of a \u2018reverse SCFE\u2019. To the authors\u2019 knowledge, it is the first case in the literature of a reverse SCFE. We describe the orthopaedic management of this case with a rethinking of basic surgical procedures to ensure the physiological acetabular-femoral alignment was restored.<\/jats:p>","DOI":"10.1136\/bcr-2025-265406","type":"journal-article","created":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T04:40:28Z","timestamp":1757479228000},"page":"e265406","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Reverse slipped capital femoral epiphysis"],"prefix":"10.1136","volume":"18","author":[{"given":"Darren","family":"Moloney","sequence":"first","affiliation":[{"name":"Saint James\u2019s Hospital, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-6356-1638","authenticated-orcid":false,"given":"Claire Kathleen","family":"Stenson","sequence":"additional","affiliation":[{"name":"Plastics, St Vincent\u2019s University Hospital, Dublin, Ireland"},{"name":"Department of Anatomy, RCSI, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Conor","family":"Brosnan","sequence":"additional","affiliation":[{"name":"Radiology, Children\u2019s Health Ireland at Temple Street, Dublin, Leinster, Ireland"},{"name":"Radiology, Beaumont Hospital, Dublin, Leinster, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Connolly","sequence":"additional","affiliation":[{"name":"Department of Trauma and Orthopaedic Surgery, Childrens Health Ireland at Temple Street, Dublin, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eilish","family":"Twomey","sequence":"additional","affiliation":[{"name":"Radiology, Children\u2019s Health Ireland at Temple Street, Dublin, Leinster, Ireland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2025,9,9]]},"reference":[{"key":"2025100220401569000_18.9.e265406.1","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpo.0000217718.10728.70"},{"key":"2025100220401569000_18.9.e265406.2","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1097\/01241398-199305000-00003","article-title":"Narrow window of bone age in children with slipped capital femoral epiphyses","volume":"13","author":"Loder","year":"1993","journal-title":"J Pediatr Orthop"},{"key":"2025100220401569000_18.9.e265406.3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00003086-199601000-00003","article-title":"The demographics of slipped capital femoral epiphysis. 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