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Proximal femoral epiphysiolysis

MedGen UID:
57704
Concept ID:
C0149887
Disease or Syndrome
Synonyms: EPIPHYSIOLYSIS CAPITIS FEMORIS; 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
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.
Proximal femoral epiphysiolysis
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 2B
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.
Proximal femoral epiphysiolysis
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

Cazzulino A, Wu W, Allahabadi S, Swarup I
JBJS Rev 2021 Jul 16;9(7) doi: 10.2106/JBJS.RVW.20.00268. PMID: 34270502
Peck DM, Voss LM, Voss TT
Am Fam Physician 2017 Jun 15;95(12):779-784. PMID: 28671425
Jarrett DY, Matheney T, Kleinman PK
Pediatr Radiol 2013 Mar;43 Suppl 1:S71-82. Epub 2013 Mar 12 doi: 10.1007/s00247-012-2577-x. PMID: 23478922

Recent clinical studies

Etiology

Kennon JC, Bohsali KI, Ogden JA, Ogden J 3rd, Ganey TM
J Pediatr Orthop 2016 Apr-May;36(3):253-61. doi: 10.1097/BPO.0000000000000433. PMID: 25757209
Karatas AF, Bober MB, Rogers K, Duker AL, Ditro CP, Mackenzie WG
J Pediatr Orthop 2014 Sep;34(6):585-90. doi: 10.1097/BPO.0000000000000183. PMID: 24705347
Milgram JW, Lyne ED
Clin Orthop Relat Res 1975 Jul-Aug;(110):146-53. doi: 10.1097/00003086-197507000-00018. PMID: 1157376

Diagnosis

Kennon JC, Bohsali KI, Ogden JA, Ogden J 3rd, Ganey TM
J Pediatr Orthop 2016 Apr-May;36(3):253-61. doi: 10.1097/BPO.0000000000000433. PMID: 25757209
Karatas AF, Bober MB, Rogers K, Duker AL, Ditro CP, Mackenzie WG
J Pediatr Orthop 2014 Sep;34(6):585-90. doi: 10.1097/BPO.0000000000000183. PMID: 24705347
Herrera-Soto JA, Price CT, Reuss BL, Riley P, Kasser JR, Beaty JH
J Pediatr Orthop 2006 May-Jun;26(3):371-4. doi: 10.1097/01.bpo.0000214925.41056.b9. PMID: 16670551
Ogden JA, Lee KE, Rudicel SA, Pelker RR
J Pediatr Orthop 1984 May;4(3):285-92. doi: 10.1097/01241398-198405000-00002. PMID: 6736231
Wojtowycz M, Starshak RJ, Sty JR
Radiology 1980 Sep;136(3):647-8. doi: 10.1148/radiology.136.3.7403541. PMID: 7403541

Therapy

Kennon JC, Bohsali KI, Ogden JA, Ogden J 3rd, Ganey TM
J Pediatr Orthop 2016 Apr-May;36(3):253-61. doi: 10.1097/BPO.0000000000000433. PMID: 25757209
Herrera-Soto JA, Price CT, Reuss BL, Riley P, Kasser JR, Beaty JH
J Pediatr Orthop 2006 May-Jun;26(3):371-4. doi: 10.1097/01.bpo.0000214925.41056.b9. PMID: 16670551

Prognosis

Kennon JC, Bohsali KI, Ogden JA, Ogden J 3rd, Ganey TM
J Pediatr Orthop 2016 Apr-May;36(3):253-61. doi: 10.1097/BPO.0000000000000433. PMID: 25757209
Milgram JW, Lyne ED
Clin Orthop Relat Res 1975 Jul-Aug;(110):146-53. doi: 10.1097/00003086-197507000-00018. PMID: 1157376

Clinical prediction guides

Kennon JC, Bohsali KI, Ogden JA, Ogden J 3rd, Ganey TM
J Pediatr Orthop 2016 Apr-May;36(3):253-61. doi: 10.1097/BPO.0000000000000433. PMID: 25757209
Ogden JA, Lee KE, Rudicel SA, Pelker RR
J Pediatr Orthop 1984 May;4(3):285-92. doi: 10.1097/01241398-198405000-00002. PMID: 6736231

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