Management of Slipped Capital Femoral Epiphysis (SCFE) on Top of Fixed Fracture Neck of Femur (Case Report)

Document Type : CASE REPORT

Authors

Pediatric Orthopedic Unit, Orthopedic and Traumatology Department, Assiut University, Egypt

Abstract

The incidence of Slipped capital femoral epiphysis (SCFE) after management of femoral neck fracture 
in pediatrics is very rare. In this case report, a nine-year-old female child sustained left sided femur 
neck fracture after a motor car accident. The fracture was fixed by two cannulated screws and healing 
with mild varus occurred after six weeks. However, progressive slippage of femoral epiphysis was 
observed. This was treated by subtrochanteric valgus osteotomy and fixed by tension band and Wagner 
technique. Better radiological and functional outcomes were obtained at the short term follow up.
 Level of evidence: V

Keywords

Main Subjects


1. Yerli M, Ocak O, Yüce A, et al. Retrospective analysis of 35 
pediatric femoral neck fractures. Eur J Orthop Surg 
Traumatol. 2022; 32(7):1385-1390. doi: 10.1007/s00590-
021-03126-6.
2. Li H, Zhao L, Huang L, Kuo KN. Delayed slipped capital 
femoral epiphysis after treatment of femoral neck fracture in 
children. Clin Orthop Relat Res. 2015; 473:2712-2717. doi: 
10.1007/s11999-014-4067-y. 
3. Chinoy MA, Pal S, Khan MA. Slipped capital femoral epiphysis 
after treatment of femoral neck fracture. Pak J Med Sci. 2020; 
36(1):S94-s97. doi:10.12669/pjms.36.ICON-Suppl.1725.
4. Xin P, Li Z, Pei S, Shi Q, Xiao L. The incidence and risk factors 
for femoral head necrosis after femoral neck fracture in 
pediatric patients: a systematic review and meta-analysis. J 
Orthop Surg Res. 2023; 18(1):22. doi: 10.1186/s13018-023-
03502-4.
5. Chaudhary S, Garg V, Mishra D, et al. Risk Factors for 
Avascular Necrosis of the Femoral Head in Pediatric Femoral 
Neck Fractures. Cureus. 2021; 13(7):e16776. 
doi:10.7759/cureus.16776.
6. Dai ZZ, Zhang ZQ, Ding J, et al. Analysis of risk factors for 
complications after femoral neck fracture in pediatric 
patients. J Orthop Surg Res. 2020; 15(1):58. doi: 
10.1186/s13018-020-01587-9.
7. Jung ST, Park GH. Slipped capital femoral epiphysis following 
fracture of the femoral neck: a case report. J Pediatr Orthop B. 
2012; 21(6):579-82. doi:10.1097/BPB.0b013e328354afcf.
8. Gopinathan NR, Chouhan D, Akkina N, Behera P. Case report: 
Bilateral femoral neck fractures in a child and a rare 
complication of slipped capital epiphysis after internal 
fixation. Clin Orthop Relat Res. 2012; 470(10):2941-5. doi: 
10.1007/s11999-012-2458-5.