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Background <p>The clinico-radiological presentation and surgical outcomes in valgus slipped capital femoral epiphysis (SCFE) differ from conventional slipped epiphysis (varus slip). This study aims to review the clinical profile and surgical outcome following in-situ pinning in valgus SCFE.</p> Materials and methods <p>A retrospective study was conducted in a quaternary care centre, and children (up to 16&#xa0;years) diagnosed as SCFE from 01/01/2008–31/12/2020 were reviewed. All slips were stabilized with a single 7.2&#xa0;mm fully threaded cannulated cancellous screw with a washer using a mini-open approach on a radiolucent table. The functional outcome was assessed prospectively at the final follow-up.</p> Results <p>During this period, 14 hips in 10 out of 151 (6.6%) children were identified as valgus slips. Trethowan sign was negative in all patients; 9/10 were boys, 4/10 were bilateral. Their mean age was 12.13&#xa0;years (SD 1.34, range: 10–14), mean BMI was 21.35 (SD 3.52, range: 14–27.3), none were associated with any endocrinopathy or renal osteodystrophy and 9/10 had Vit D deficiency. At a mean follow-up of 2&#xa0;years and 8&#xa0;months, there was no avascular necrosis or chondrolysis.</p> Conclusion <p>In-situ pinning with a mini-open approach is safe and effective in Valgus SCFE. However, a high clinical index of suspicion and close attention to imaging features are recommended to diagnose and treat a valgus SCFE.</p>

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Valgus Slipped Capital Femoral Epiphysis: ‘An Easily Overlooked Entity’

  • 期刊论文

  • 发表日期：

    2025年6月27日

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  • Jonathan Reddy,
  • Abhay Gahukamble,
  • Arul Murugan,
  • Vikas Thuppale,
  • Thomas Palocaren

摘要

Background

The clinico-radiological presentation and surgical outcomes in valgus slipped capital femoral epiphysis (SCFE) differ from conventional slipped epiphysis (varus slip). This study aims to review the clinical profile and surgical outcome following in-situ pinning in valgus SCFE.

Materials and methods

A retrospective study was conducted in a quaternary care centre, and children (up to 16 years) diagnosed as SCFE from 01/01/2008–31/12/2020 were reviewed. All slips were stabilized with a single 7.2 mm fully threaded cannulated cancellous screw with a washer using a mini-open approach on a radiolucent table. The functional outcome was assessed prospectively at the final follow-up.

Results

During this period, 14 hips in 10 out of 151 (6.6%) children were identified as valgus slips. Trethowan sign was negative in all patients; 9/10 were boys, 4/10 were bilateral. Their mean age was 12.13 years (SD 1.34, range: 10–14), mean BMI was 21.35 (SD 3.52, range: 14–27.3), none were associated with any endocrinopathy or renal osteodystrophy and 9/10 had Vit D deficiency. At a mean follow-up of 2 years and 8 months, there was no avascular necrosis or chondrolysis.

Conclusion

In-situ pinning with a mini-open approach is safe and effective in Valgus SCFE. However, a high clinical index of suspicion and close attention to imaging features are recommended to diagnose and treat a valgus SCFE.