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Slipped femoral capital epiphyses

MedGen UID:
57704
Concept ID:
C0149887
Disease or Syndrome
Synonyms: EPIPHYSIOLYSIS CAPITIS FEMORIS; Proximal femoral epiphysiolysis
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:0008431
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.
Slipped femoral capital epiphyses
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.

Term Hierarchy

Conditions with this feature

MULTIPLE ENDOCRINE NEOPLASIA, TYPE IIB
MedGen UID:
9959
Concept ID:
C0025269
Neoplastic Process
Multiple endocrine neoplasia type 2 (MEN2) includes the following phenotypes: MEN2A, FMTC (familial medullary thyroid carcinoma, 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 in 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.
Slipped femoral capital epiphyses
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 myelodysplasia syndrome (MDS) and acute myelogeneous leukemia (AML); and bone abnormalities. In almost all affected children, persistent or intermittent neutropenia is a common presenting finding, often before the diagnosis of SDS is made. 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 with characteristics of 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, generalized 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

Blethen SL, MacGillivray MH
Drug Saf 1997 Nov;17(5):303-16. doi: 10.2165/00002018-199717050-00003. PMID: 9391774
Meier MC, Meyer LC, Ferguson RL
J Bone Joint Surg Am 1992 Dec;74(10):1522-9. PMID: 1469012

Recent clinical studies

Etiology

Silverman SL, Hurvitz EA, Nelson VS, Chiodo A
Arch Phys Med Rehabil 1994 Jan;75(1):118-20. PMID: 8291954

Diagnosis

Burnette JB, Ebramzadeh E, Lee JL, Galanti S, Hoffer MM
J Pediatr Orthop 2004 Nov-Dec;24(6):738-41. doi: 10.1097/00004694-200411000-00026. PMID: 15502580
Bannister J
Aust N Z J Surg 1975 Aug;45(3):294-301. doi: 10.1111/j.1445-2197.1975.tb05213.x. PMID: 1058692

Therapy

Silverman SL, Hurvitz EA, Nelson VS, Chiodo A
Arch Phys Med Rehabil 1994 Jan;75(1):118-20. PMID: 8291954
Silverman CL, Thomas PR, McAlister WH, Walker S, Whiteside LA
Int J Radiat Oncol Biol Phys 1981 Oct;7(10):1357-63. doi: 10.1016/0360-3016(81)90031-6. PMID: 7319860
Cameron HU, Wang M, Koreska J
Clin Orthop Relat Res 1978 Nov-Dec;(137):148-53. PMID: 743821
Bannister J
Aust N Z J Surg 1975 Aug;45(3):294-301. doi: 10.1111/j.1445-2197.1975.tb05213.x. PMID: 1058692

Prognosis

Burnette JB, Ebramzadeh E, Lee JL, Galanti S, Hoffer MM
J Pediatr Orthop 2004 Nov-Dec;24(6):738-41. doi: 10.1097/00004694-200411000-00026. PMID: 15502580

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