{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:39:16Z","timestamp":1787755156635,"version":"build-2784847793"},"reference-count":105,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>\n                    <jats:list list-type=\"plain\">\n                      <jats:list-item>\n                        <jats:p>\u00bb An unstable slipped capital femoral epiphysis (SCFE) is characterized by the inability to walk and is associated with a high risk of osteonecrosis.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb An unstable SCFE is less common than a stable SCFE; however, the demographics are similar in both groups of patients with SCFE.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb The diagnosis of an unstable SCFE is characterized by a history of antecedent pain and the inability to walk on examination, and it is confirmed by radiographic assessment.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb Management of an unstable SCFE includes closed reduction, open reduction, and capital realignment, which have all been noted to have lower rates of osteonecrosis than reported in historic reports.<\/jats:p>\n                      <\/jats:list-item>\n                      <jats:list-item>\n                        <jats:p>\u00bb All management approaches have certain advantages and disadvantages, and comparative studies are needed to guide clinical decision-making.<\/jats:p>\n                      <\/jats:list-item>\n                    <\/jats:list>\n                  <\/jats:p>","DOI":"10.2106\/jbjs.rvw.20.00268","type":"journal-article","created":{"date-parts":[[2021,7,16]],"date-time":"2021-07-16T14:16:15Z","timestamp":1626444975000},"source":"Crossref","is-referenced-by-count":11,"title":["Diagnosis and Management of Unstable Slipped Capital Femoral Epiphysis"],"prefix":"10.2106","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4373-615X","authenticated-orcid":false,"given":"Alejandro","family":"Cazzulino","sequence":"first","affiliation":[{"name":"Division of Pediatric Orthopaedic Surgery, UCSF Benioff Children\u2019s Hospital, University of California San Francisco, Oakland, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"San Francisco Orthopaedic Residency Program, St. Mary\u2019s Medical Center, San Francisco, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1185-3039","authenticated-orcid":false,"given":"Sachin","family":"Allahabadi","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedic Surgery, UCSF Benioff Children\u2019s Hospital, University of California San Francisco, Oakland, California"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3481-3408","authenticated-orcid":false,"given":"Ishaan","family":"Swarup","sequence":"additional","affiliation":[{"name":"Division of Pediatric Orthopaedic Surgery, UCSF Benioff Children\u2019s Hospital, University of California San Francisco, Oakland, California"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,7]]},"reference":[{"issue":"1","key":"r1-20230807","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/MOP.0b013e328320acea","article-title":"Slipped capital femoral epiphysis update","volume":"21","author":"Gholve","year":"2009","journal-title":"Curr Opin Pediatr"},{"issue":"12","key":"r2-20230807","doi-asserted-by":"crossref","first-page":"666","DOI":"10.5435\/00124635-200611000-00010","article-title":"Slipped capital femoral epiphysis: current concepts","volume":"14","author":"Aronsson","year":"2006","journal-title":"J Am Acad Orthop Surg"},{"issue":"8","key":"r3-20230807","doi-asserted-by":"crossref","first-page":"1134","DOI":"10.2106\/00004623-199308000-00002","article-title":"Acute slipped capital femoral epiphysis: the importance of physeal stability","volume":"75","author":"Loder","year":"1993","journal-title":"J Bone Joint Surg Am"},{"issue":"302","key":"r4-20230807","first-page":"101","article-title":"Traction reduction of acute and acute-on-chronic slipped capital femoral epiphysis","author":"Dietz","year":"1994","journal-title":"Clin Orthop Relat Res"},{"issue":"5","key":"r5-20230807","doi-asserted-by":"crossref","first-page":"798","DOI":"10.2106\/00004623-200305000-00004","article-title":"Factors influencing the development of osteonecrosis in patients treated for slipped capital femoral epiphysis","volume":"85","author":"Tokmakova","year":"2003","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"r6-20230807","doi-asserted-by":"crossref","first-page":"379","DOI":"10.1007\/s10195-017-0469-4","article-title":"Treatment of stable slipped capital femoral epiphysis: systematic review and exploratory patient level analysis","volume":"18","author":"Naseem","year":"2017","journal-title":"J Orthop Traumatol"},{"issue":"5","key":"r7-20230807","doi-asserted-by":"crossref","first-page":"244","DOI":"10.1016\/j.surge.2013.09.003","article-title":"Severe slipped upper femoral epiphysis; fish osteotomy versus pinning-in-situ: an eleven year perspective","volume":"12","author":"Alshryda","year":"2014","journal-title":"Surgeon"},{"issue":"1","key":"r8-20230807","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/j.surge.2016.04.001","article-title":"Evidence based treatment for unstable slipped upper femoral epiphysis: Systematic review and exploratory patient level analysis","volume":"16","author":"Alshryda","year":"2018","journal-title":"Surgeon"},{"issue":"7","key":"r9-20230807","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1007\/s11999-012-2765-x","article-title":"Unstable SCFE: review of treatment modalities and prevalence of osteonecrosis","volume":"471","author":"Zaltz","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"r10-20230807","doi-asserted-by":"crossref","first-page":"85","DOI":"10.2106\/00004623-198163010-00011","article-title":"Slipped capital femoral epiphysis. Long-term follow-up study of one hundred and twenty-one patients","volume":"63","author":"Boyer","year":"1981","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r11-20230807","doi-asserted-by":"crossref","first-page":"667","DOI":"10.2106\/00004623-199173050-00004","article-title":"Long-term follow-up of slipped capital femoral epiphysis","volume":"73","author":"Carney","year":"1991","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r12-20230807","doi-asserted-by":"crossref","first-page":"485","DOI":"10.2106\/JBJS.F.01027","article-title":"Chondrolysis, osteonecrosis, and slip severity in patients with subsequent contralateral slipped capital femoral epiphysis","volume":"90","author":"Yildirim","year":"2008","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r13-20230807","doi-asserted-by":"crossref","first-page":"578","DOI":"10.1097\/01241398-200309000-00003","article-title":"A 50-year experience with bone graft epiphysiodesis in the treatment of slipped capital femoral epiphysis","volume":"23","author":"Adamczyk","year":"2003","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r14-20230807","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1097\/01241398-198403000-00001","article-title":"A 30-year experience with bone graft epiphysiodesis in the treatment of slipped capital femoral epiphysis","volume":"4","author":"Weiner","year":"1984","journal-title":"J Pediatr Orthop"},{"issue":"September","key":"r15-20230807","first-page":"S133","article-title":"The most important risk factors for avascular necrosis and chondrolysis in patients with slipped capital femoral epiphysis","volume":"97","author":"Kaewpornsawan","year":"2014","journal-title":"J Med Assoc Thai"},{"issue":"3","key":"r16-20230807","doi-asserted-by":"crossref","first-page":"398","DOI":"10.2106\/00004623-199603000-00011","article-title":"Acute slipped capital femoral epiphysis. Review of outcomes and rates of avascular necrosis","volume":"78","author":"Rattey","year":"1996","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"r17-20230807","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.2106\/00004623-198466080-00002","article-title":"Cuneiform osteotomy of the femoral neck in the treatment of slipped capital femoral epiphysis","volume":"66","author":"Fish","year":"1984","journal-title":"J Bone Joint Surg Am"},{"issue":"6","key":"r18-20230807","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1097\/BPO.0b013e3181e4f372","article-title":"The unstable slipped capital femoral epiphysis: risk factors for osteonecrosis","volume":"30","author":"Sankar","year":"2010","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"r19-20230807","doi-asserted-by":"crossref","first-page":"S23","DOI":"10.1097\/BPO.0000000000001369","article-title":"Natural History of Slipped Capital Femoral Epiphysis","volume":"39","author":"Mathew","year":"2019","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r20-20230807","doi-asserted-by":"crossref","first-page":"125","DOI":"10.1097\/BPO.0b013e318246efcb","article-title":"Outcomes of slipped capital femoral epiphysis treated with in situ pinning","volume":"32","author":"Larson","year":"2012","journal-title":"J Pediatr Orthop"},{"issue":"8","key":"r21-20230807","doi-asserted-by":"crossref","first-page":"767","DOI":"10.1097\/BPO.0b013e3181fbe912","article-title":"Avascular necrosis most common indication for hip arthroplasty in patients with slipped capital femoral epiphysis","volume":"30","author":"Larson","year":"2010","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"r22-20230807","doi-asserted-by":"crossref","first-page":"694","DOI":"10.1097\/01241398-200109000-00027","article-title":"Unstable slipped capital femoral epiphysis","volume":"21","author":"Loder","year":"2001","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"r23-20230807","doi-asserted-by":"crossref","first-page":"648","DOI":"10.1097\/01241398-199709000-00013","article-title":"Acute slipped capital femoral epiphysis: the value and safety of urgent manipulative reduction","volume":"17","author":"Peterson","year":"1997","journal-title":"J Pediatr Orthop"},{"issue":"322","key":"r24-20230807","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1097\/00003086-199601000-00003","article-title":"The demographics of slipped capital femoral epiphysis. An international multicenter study","author":"Loder","year":"1996","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"r25-20230807","doi-asserted-by":"crossref","first-page":"197","DOI":"10.1097\/01.bpo.0000218526.36362.3f","article-title":"Body mass index in patients with slipped capital femoral epiphysis","volume":"26","author":"Bhatia","year":"2006","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"r26-20230807","doi-asserted-by":"crossref","first-page":"e446","DOI":"10.1097\/BPO.0000000000001482","article-title":"Risk Factors for Contralateral Slipped Capital Femoral Epiphysis: A Meta-analysis of Cohort and Case-control Studies","volume":"40","author":"Swarup","year":"2020","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r27-20230807","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1302\/1863-2548.14.200012","article-title":"Predicting subsequent contralateral slipped capital femoral epiphysis: an evidence-based approach","volume":"14","author":"Swarup","year":"2020","journal-title":"J Child Orthop"},{"issue":"3","key":"r28-20230807","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1097\/01.bpo.0000217718.10728.70","article-title":"The epidemiology of slipped capital femoral epiphysis: an update","volume":"26","author":"Lehmann","year":"2006","journal-title":"J Pediatr Orthop"},{"issue":"322","key":"r29-20230807","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/00003086-199601000-00012","article-title":"Treatment of the unstable (acute) slipped capital femoral epiphysis","author":"Aronsson","year":"1996","journal-title":"Clin Orthop Relat Res"},{"issue":"2","key":"r30-20230807","doi-asserted-by":"crossref","first-page":"117","DOI":"10.3109\/17453678709146453","article-title":"Growth of children with physiolysis of the hip","volume":"58","author":"H\u00e4gglund","year":"1987","journal-title":"Acta Orthop Scand"},{"issue":"7","key":"r31-20230807","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1097\/BPO.0b013e3181b7687a","article-title":"Urgent reduction, fixation, and arthrotomy for unstable slipped capital femoral epiphysis","volume":"29","author":"Chen","year":"2009","journal-title":"J Pediatr Orthop"},{"issue":"8","key":"r32-20230807","doi-asserted-by":"crossref","first-page":"1727","DOI":"10.2106\/JBJS.F.00964","article-title":"Intravenous bisphosphonate therapy for traumatic osteonecrosis of the femoral head in adolescents","volume":"89","author":"Ramachandran","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r33-20230807","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1097\/01241398-200205000-00017","article-title":"Early reduction, arthrotomy, and cannulated screw fixation in unstable slipped capital femoral epiphysis treatment","volume":"22","author":"Gordon","year":"2002","journal-title":"J Pediatr Orthop"},{"issue":"1","key":"r35-20230807","doi-asserted-by":"crossref","first-page":"9","DOI":"10.1097\/BPB.0b013e3283317b4a","article-title":"Incidence of slipped capital femoral epiphysis: a population-based study","volume":"19","author":"Larson","year":"2010","journal-title":"J Pediatr Orthop B"},{"issue":"3","key":"r36-20230807","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1097\/01241398-199505000-00018","article-title":"Slipped capital femoral epiphysis associated with endocrine disorders","volume":"15","author":"Loder","year":"1995","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r37-20230807","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/00004694-199703000-00013","article-title":"Slipped capital femoral epiphysis associated with renal failure osteodystrophy","volume":"17","author":"Loder","year":"1997","journal-title":"J Pediatr Orthop"},{"issue":"12","key":"r38-20230807","doi-asserted-by":"crossref","first-page":"921","DOI":"10.3928\/01477447-20101021-27","article-title":"Slipped capital femoral epiphysis with severe vitamin D deficiency","volume":"33","author":"Skelley","year":"2010","journal-title":"Orthopedics"},{"issue":"6","key":"r39-20230807","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1302\/0301-620X.95B6.30806","article-title":"Slipped capital femoral epiphysis associated with vitamin D deficiency: a series of 15 cases","volume":"95-B","author":"Madhuri","year":"2013","journal-title":"Bone Joint J"},{"issue":"426","key":"r40-20230807","doi-asserted-by":"crossref","first-page":"212","DOI":"10.1097\/01.blo.0000136655.51838.84","article-title":"Atypical slipped capital femoral epiphysis after radiotherapy and chemotherapy","author":"Liu","year":"2004","journal-title":"Clin Orthop Relat Res"},{"issue":"8","key":"r41-20230807","doi-asserted-by":"crossref","first-page":"515","DOI":"10.5435\/JAAOS-D-15-00237","article-title":"Hip Vascularity: A Review of the Anatomy and Clinical Implications","volume":"24","author":"Seeley","year":"2016","journal-title":"J Am Acad Orthop Surg"},{"issue":"2","key":"r42-20230807","doi-asserted-by":"crossref","first-page":"409","DOI":"10.2106\/JBJS.G.01679","article-title":"Capsular and pericapsular contributions to acetabular and femoral head perfusion","volume":"91","author":"Kalhor","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r43-20230807","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1016\/j.ocl.2004.03.002","article-title":"Vascular anatomy and microcirculation of skeletal zones vulnerable to osteonecrosis: vascularization of the femoral head","volume":"35","author":"Johnson","year":"2004","journal-title":"Orthop Clin North Am"},{"issue":"2","key":"r44-20230807","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1302\/0301-620X.39B2.358","article-title":"The normal vascular anatomy of the human femoral head during growth","volume":"39-B","author":"Trueta","year":"1957","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"r45-20230807","doi-asserted-by":"crossref","first-page":"442","DOI":"10.1302\/0301-620X.35B3.442","article-title":"The normal vascular anatomy of the femoral head in adult man","volume":"35-B","author":"Trueta","year":"1953","journal-title":"J Bone Joint Surg Br"},{"issue":"3","key":"r46-20230807","doi-asserted-by":"crossref","first-page":"545","DOI":"10.2106\/00004623-197153030-00011","article-title":"Arterial supply of the femoral head. A combined angiographic and histological study","volume":"53","author":"Wertheimer","year":"1971","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r47-20230807","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1302\/0301-620X.82B5.0820679","article-title":"Anatomy of the medial femoral circumflex artery and its surgical implications","volume":"82","author":"Gautier","year":"2000","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"r48-20230807","doi-asserted-by":"crossref","first-page":"1637","DOI":"10.1148\/rg.306105516","article-title":"Anatomy, biomechanics, imaging, and management of ligamentum teres injuries","volume":"30","author":"Cerezal","year":"2010","journal-title":"Radiographics"},{"issue":"7","key":"r49-20230807","doi-asserted-by":"crossref","first-page":"1000","DOI":"10.2106\/00004623-198668070-00006","article-title":"The association of femoral retroversion with slipped capital femoral epiphysis","volume":"68","author":"Gelberman","year":"1986","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r50-20230807","doi-asserted-by":"crossref","first-page":"209","DOI":"10.2106\/JBJS.18.00440","article-title":"Predicting Risk of Contralateral Slip in Unilateral Slipped Capital Femoral Epiphysis: Posterior Epiphyseal Tilt Increases and Superior Epiphyseal Extension Reduces Risk","volume":"101","author":"Maranho","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r51-20230807","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/01241398-198805000-00003","article-title":"The evolving slope of the proximal femoral growth plate relationship to slipped capital femoral epiphysis","volume":"8","author":"Mirkopulos","year":"1988","journal-title":"J Pediatr Orthop"},{"issue":"10","key":"r52-20230807","doi-asserted-by":"crossref","first-page":"e742","DOI":"10.1097\/BPO.0000000000001339","article-title":"Clinical and Radiographic Characteristics of Atypical Slipped Capital Femoral Epiphysis","volume":"39","author":"Chung","year":"2019","journal-title":"J Pediatr Orthop"},{"issue":"6","key":"r53-20230807","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1097\/01241398-198411000-00017","article-title":"Slipped capital femoral epiphysis: factors affecting shear forces on the epiphyseal plate","volume":"4","author":"Litchman","year":"1984","journal-title":"J Pediatr Orthop"},{"issue":"10","key":"r54-20230807","doi-asserted-by":"crossref","first-page":"805","DOI":"10.2106\/JBJS.15.01028","article-title":"Capital Femoral Growth Plate Extension Predicts Cam Morphology in a Longitudinal Radiographic Study","volume":"98","author":"Morris","year":"2016","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"r55-20230807","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.2106\/00004623-198163070-00007","article-title":"A histochemical study of slipped capital femoral epiphysis","volume":"63","author":"Ippolito","year":"1981","journal-title":"J Bone Joint Surg Am"},{"issue":"4","key":"r57-20230807","doi-asserted-by":"crossref","first-page":"e322","DOI":"10.1542\/peds.113.4.e322","article-title":"Delay in diagnosis of slipped capital femoral epiphysis","volume":"113","author":"Kocher","year":"2004","journal-title":"Pediatrics"},{"key":"r58-20230807","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.jpeds.2018.10.050","article-title":"Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis","volume":"206","author":"Uvodich","year":"2019","journal-title":"J Pediatr"},{"issue":"4","key":"r59-20230807","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1097\/01241398-199907000-00007","article-title":"Knee pain as the initial symptom of slipped capital femoral epiphysis: an analysis of initial presentation and treatment","volume":"19","author":"Matava","year":"1999","journal-title":"J Pediatr Orthop"},{"issue":"4 Pt 1","key":"r60-20230807","doi-asserted-by":"crossref","first-page":"660","DOI":"10.1542\/peds.89.4.660","article-title":"Slipped capital femoral epiphysis without hip pain leads to missed diagnosis","volume":"89","author":"Ledwith","year":"1992","journal-title":"Pediatrics"},{"key":"r61-20230807","doi-asserted-by":"crossref","first-page":"250","DOI":"10.1016\/j.jpeds.2016.06.029","article-title":"Continuing Delay in the Diagnosis of Slipped Capital Femoral Epiphysis","volume":"177","author":"Schur","year":"2016","journal-title":"J Pediatr"},{"issue":"2","key":"r62-20230807","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1097\/01.bpb.0000188251.24771.c9","article-title":"Consequences of diagnostic delays in slipped capital femoral epiphysis","volume":"15","author":"Rahme","year":"2006","journal-title":"J Pediatr Orthop B"},{"issue":"1","key":"r63-20230807","first-page":"97","article-title":"Demographic predictors of severity of stable slipped capital femoral epiphyses","volume":"88","author":"Loder","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"r64-20230807","doi-asserted-by":"crossref","first-page":"2132","DOI":"10.1007\/s11999-013-3042-3","article-title":"Patients with unstable slipped capital femoral epiphysis have antecedent symptoms","volume":"471","author":"McPartland","year":"2013","journal-title":"Clin Orthop Relat Res"},{"key":"r65-20230807","doi-asserted-by":"crossref","first-page":"1105","DOI":"10.2106\/00004623-196547060-00001","article-title":"Acute Slipped Capital Femoral Epiphysis: Review of the Literature and Report of Ten Cases","volume":"47","author":"Fahey","year":"1965","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r66-20230807","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1097\/BPB.0000000000000596","article-title":"The outcome of in-situ fixation of unstable slipped capital femoral epiphysis","volume":"28","author":"Lang","year":"2019","journal-title":"J Pediatr Orthop B"},{"issue":"8","key":"r67-20230807","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1097\/BPO.0b013e31822ed320","article-title":"Drehmann sign and femoro-acetabular impingement in SCFE","volume":"31","author":"Kamegaya","year":"2011","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"r68-20230807","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1097\/BPO.0000000000000641","article-title":"Relationships Between Severity of Deformity and Impingement in Slipped Capital Femoral Epiphysis","volume":"37","author":"Jones","year":"2017","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r69-20230807","doi-asserted-by":"crossref","first-page":"148","DOI":"10.1097\/01241398-200403000-00003","article-title":"Gait abnormalities following slipped capital femoral epiphysis","volume":"24","author":"Song","year":"2004","journal-title":"J Pediatr Orthop"},{"issue":"2","key":"r70-20230807","doi-asserted-by":"crossref","first-page":"93","DOI":"10.1302\/1863-2548-11-170025","article-title":"SCFE: clinical aspects, diagnosis, and classification","volume":"11","author":"Millis","year":"2017","journal-title":"J Child Orthop"},{"issue":"12","key":"r71-20230807","doi-asserted-by":"crossref","first-page":"2344","DOI":"10.1097\/CORR.0000000000000490","article-title":"What are the Demographics and Epidemiology of Legg-Calv\u00e9-Perthes Disease in a Large Southern California Integrated Health System?","volume":"476","author":"Kessler","year":"2018","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"r72-20230807","doi-asserted-by":"crossref","first-page":"1574","DOI":"10.2106\/JBJS.E.00662","article-title":"Atypical and typical (idiopathic) slipped capital femoral epiphysis. Reconfirmation of the age-weight test and description of the height and age-height tests","volume":"88","author":"Loder","year":"2006","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r73-20230807","doi-asserted-by":"crossref","first-page":"314","DOI":"10.1080\/17453674.2018.1445167","article-title":"Obesity-related metabolic and endocrine disorders diagnosed during postoperative follow-up of slipped capital femoral epiphysis","volume":"89","author":"Ucpunar","year":"2018","journal-title":"Acta Orthop"},{"issue":"7","key":"r74-20230807","doi-asserted-by":"crossref","first-page":"e72","DOI":"10.1097\/BPO.0000000000000562","article-title":"Can Subclinical Rickets Cause SCFE? A Prospective, Pilot Study","volume":"35","author":"Arkader","year":"2015","journal-title":"J Pediatr Orthop"},{"issue":"4","key":"r75-20230807","doi-asserted-by":"crossref","first-page":"491","DOI":"10.4103\/ijem.IJEM_306_19","article-title":"Slipped Capital Femoral Epiphysis in Primary Hyperparathyroidism - Case Report with Literature Review","volume":"23","author":"George","year":"2019","journal-title":"Indian J Endocrinol Metab"},{"issue":"3","key":"r76-20230807","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1007\/s11832-013-0493-8","article-title":"Slipped capital femoral epiphysis and its association with endocrine, metabolic and chronic diseases: a systematic review of the literature","volume":"7","author":"Witbreuk","year":"2013","journal-title":"J Child Orthop"},{"issue":"3","key":"r77-20230807","doi-asserted-by":"crossref","first-page":"597","DOI":"10.2106\/00004623-197153030-00020","article-title":"Slipped capital femoral epiphysis in a true hypogonadal male (Klinefelter\u2019s mosaic XY-XXY). A case report","volume":"53","author":"Primiano","year":"1971","journal-title":"J Bone Joint Surg Am"},{"issue":"5","key":"r78-20230807","doi-asserted-by":"crossref","first-page":"807","DOI":"10.2106\/00004623-196749050-00001","article-title":"Osteotomy through the lesser trochanter for slipped capital femoral epiphysis","volume":"49","author":"Southwick","year":"1967","journal-title":"J Bone Joint Surg Am"},{"issue":"7","key":"r79-20230807","doi-asserted-by":"crossref","first-page":"2151","DOI":"10.1007\/s11999-013-2807-z","article-title":"Increased acetabular depth may influence physeal stability in slipped capital femoral epiphysis","volume":"471","author":"Podeszwa","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"r80-20230807","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1097\/BPO.0000000000000786","article-title":"Early MRI Detection and Closed Bone Graft Epiphysiodesis May Alter the Course of Avascular Necrosis Following Unstable Slipped Capital Femoral Epiphysis","volume":"38","author":"Napora","year":"2018","journal-title":"J Pediatr Orthop"},{"issue":"1","key":"r81-20230807","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jcot.2014.02.004","article-title":"Is the femoral head dead or alive before surgery of slipped capital femoral epiphysis? Interest of perfusion Magnetic Resonance Imaging","volume":"5","author":"Edouard","year":"2014","journal-title":"J Clin Orthop Trauma"},{"issue":"12","key":"r82-20230807","doi-asserted-by":"crossref","first-page":"1030","DOI":"10.2106\/JBJS.15.01002","article-title":"Intraoperative Monitoring of Epiphyseal Perfusion in Slipped Capital Femoral Epiphysis","volume":"98","author":"Schrader","year":"2016","journal-title":"J Bone Joint Surg Am"},{"issue":"8","key":"r83-20230807","doi-asserted-by":"crossref","first-page":"1837","DOI":"10.1007\/s11999-016-4819-y","article-title":"Is Assessment of Femoral Head Perfusion During Modified Dunn for Unstable Slipped Capital Femoral Epiphysis an Accurate Indicator of Osteonecrosis?","volume":"474","author":"Novais","year":"2016","journal-title":"Clin Orthop Relat Res"},{"issue":"1","key":"r84-20230807","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/BPO.0b013e31818f0ea3","article-title":"Open reduction and smooth Kirschner wire fixation for unstable slipped capital femoral epiphysis","volume":"29","author":"Parsch","year":"2009","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"r85-20230807","doi-asserted-by":"crossref","first-page":"585","DOI":"10.2106\/JBJS.L.00203","article-title":"The modified Dunn procedure for unstable slipped capital femoral epiphysis: a multicenter perspective","volume":"95","author":"Sankar","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"3","key":"r86-20230807","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1007\/s11999-008-0687-4","article-title":"Capital realignment for moderate and severe SCFE using a modified Dunn procedure","volume":"467","author":"Ziebarth","year":"2009","journal-title":"Clin Orthop Relat Res"},{"issue":"4","key":"r87-20230807","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1302\/0301-620X.54B4.607","article-title":"Reduction of acutely slipped upper femoral epiphysis","volume":"54","author":"Casey","year":"1972","journal-title":"J Bone Joint Surg Br"},{"issue":"1","key":"r88-20230807","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1097\/01.bpb.0000236224.14325.f1","article-title":"Does unstable slipped capital femoral epiphysis require urgent stabilization?","volume":"16","author":"Kalogrianitis","year":"2007","journal-title":"J Pediatr Orthop B"},{"issue":"1","key":"r89-20230807","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jos.2016.08.012","article-title":"Is the timing of surgery associated with avascular necrosis after unstable slipped capital femoral epiphysis? A multicenter study","volume":"22","author":"Kohno","year":"2017","journal-title":"J Orthop Sci"},{"issue":"7","key":"r90-20230807","doi-asserted-by":"crossref","first-page":"723","DOI":"10.1097\/BPO.0b013e318186bda3","article-title":"Increased intracapsular pressures after unstable slipped capital femoral epiphysis","volume":"28","author":"Herrera-Soto","year":"2008","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"r91-20230807","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1302\/0301-620X.77B5.7559704","article-title":"Slipped capital femoral epiphysis. Incidence and clinical assessment of physeal instability","volume":"77","author":"Kallio","year":"1995","journal-title":"J Bone Joint Surg Br"},{"issue":"6","key":"r92-20230807","doi-asserted-by":"crossref","first-page":"e406","DOI":"10.1097\/BPO.0000000000001359","article-title":"Capsulotomy in Unstable Slipped Capital Femoral Epiphysis and the Odds of AVN: A Meta-analysis of Retrospective Studies","volume":"39","author":"Kaushal","year":"2019","journal-title":"J Pediatr Orthop"},{"issue":"5","key":"r93-20230807","doi-asserted-by":"crossref","first-page":"1111","DOI":"10.1097\/CORR.0000000000000592","article-title":"What Is the Prevalence of Cam Deformity After Prophylactic Pinning of the Contralateral Asymptomatic Hip in Unilateral Slipped Capital Femoral Epiphysis? A 10-year Minimum Followup Study","volume":"477","author":"Lerch","year":"2019","journal-title":"Clin Orthop Relat Res"},{"issue":"Suppl 1","key":"r94-20230807","doi-asserted-by":"crossref","first-page":"S88","DOI":"10.1097\/BPO.0b013e318277172e","article-title":"What is the cause of avascular necrosis in unstable slipped capital femoral epiphysis and what can be done to lower the rate?","volume":"33","author":"Loder","year":"2013","journal-title":"J Pediatr Orthop"},{"issue":"3","key":"r95-20230807","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1097\/01202412-199605030-00005","article-title":"Chondrolysis and avascular necrosis: complications of slipped capital femoral epiphysis","volume":"5","author":"Lubicky","year":"1996","journal-title":"J Pediatr Orthop B"},{"issue":"1","key":"r96-20230807","first-page":"29","article-title":"Chondrolysis following slipped capital femoral epiphysis","volume":"13","author":"Jofe","year":"2004","journal-title":"J Pediatr Orthop B"},{"issue":"7","key":"r97-20230807","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.2106\/00004623-199173070-00015","article-title":"Transient penetration of the hip joint during in situ cannulated-screw fixation of slipped capital femoral epiphysis","volume":"73","author":"Zionts","year":"1991","journal-title":"J Bone Joint Surg Am"},{"issue":"2","key":"r98-20230807","first-page":"107","article-title":"Chondrolysis of the hip complicating slipped capital femoral epiphysis: long-term follow-up of nine patients","volume":"8","author":"Tudisco","year":"1999","journal-title":"J Pediatr Orthop B"},{"issue":"12","key":"r99-20230807","doi-asserted-by":"crossref","first-page":"1592","DOI":"10.1302\/0301-620X.89B12.19637","article-title":"Radiological evidence of femoroacetabular impingement in mild slipped capital femoral epiphysis: a mean follow-up of 14.4 years after pinning in situ","volume":"89","author":"Fraitzl","year":"2007","journal-title":"J Bone Joint Surg Br"},{"issue":"Suppl 1","key":"r100-20230807","doi-asserted-by":"crossref","first-page":"S76","DOI":"10.1097\/BPO.0b013e318277174c","article-title":"The natural history of osteoarthritis after a slipped capital femoral epiphysis\/the pistol grip deformity","volume":"33","author":"Casta\u00f1eda","year":"2013","journal-title":"J Pediatr Orthop"},{"issue":"7","key":"r101-20230807","doi-asserted-by":"crossref","first-page":"788","DOI":"10.1097\/BPO.0b013e3181558c94","article-title":"Clinical implications of anatomical wear characteristics in slipped capital femoral epiphysis and primary osteoarthritis","volume":"27","author":"Abraham","year":"2007","journal-title":"J Pediatr Orthop"},{"issue":"9","key":"r102-20230807","doi-asserted-by":"crossref","first-page":"1295","DOI":"10.1007\/s00264-010-1106-5","article-title":"Significance of clinical and radiographic findings in young adults after slipped capital femoral epiphysis","volume":"35","author":"Zilkens","year":"2011","journal-title":"Int Orthop"},{"issue":"7","key":"r103-20230807","doi-asserted-by":"crossref","first-page":"2163","DOI":"10.1007\/s11999-012-2715-7","article-title":"Case reports: acetabular damage after mild slipped capital femoral epiphysis","volume":"471","author":"Lee","year":"2013","journal-title":"Clin Orthop Relat Res"},{"issue":"322","key":"r104-20230807","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-199601000-00006","article-title":"Natural history of untreated chronic slipped capital femoral epiphysis","author":"Carney","year":"1996","journal-title":"Clin Orthop Relat Res"},{"issue":"7","key":"r105-20230807","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1016\/j.arth.2015.02.046","article-title":"Mild to moderate hip OA: joint preservation or total hip arthroplasty?","volume":"30","author":"Peters","year":"2015","journal-title":"J Arthroplasty"},{"issue":"9","key":"r106-20230807","doi-asserted-by":"crossref","first-page":"1502","DOI":"10.1016\/j.arth.2015.04.009","article-title":"Surgical dislocation of the hip for the treatment of pre-arthritic hip disease","volume":"30","author":"Beaul\u00e9","year":"2015","journal-title":"J Arthroplasty"},{"issue":"5","key":"r107-20230807","doi-asserted-by":"crossref","first-page":"1161","DOI":"10.2106\/00004623-200605000-00036","article-title":"Revised grades of recommendation for summaries or reviews of orthopaedic surgical studies","volume":"88","author":"Wright","year":"2006","journal-title":"J Bone Joint Surg Am"}],"container-title":["JBJS Reviews"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.20.00268","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:38:30Z","timestamp":1787751510000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.RVW.20.00268"}},"subtitle":["A Critical Analysis Review"],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":105,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.rvw.20.00268","relation":{},"ISSN":["2329-9185"],"issn-type":[{"value":"2329-9185","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}