INTRODUCTION There has been growing interest in the concept of cam-type femoroacetabular impingement (FAI) as an etiological factor in the development of osteoarthritis of the hip after slipped capital femoral epiphysis (SCFE). Remodeling of the femoral head has been reported from several authors, however, a little is known about the remodeling from the point of cam deformity. Therefore, we con...

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children. SCFE is classified as stable or unstable based on the stability of the physis. It is associated with obesity, growth spurts, and (occasionally) endocrin...

of 44 patients (55 hips) with slipped upper femoral epiphysis treated from 1963 to 1989, 13 (14 hips) developed chondrolysis. Eight hips had chondrolysis at the time of presentation, all in female patients who were either coloured or black and who had moderate or severe slips. The other six hips had persistent pin penetration of the joint; in five of these the pin penetrated the anterosuperior ...

Eight slipped upper femoral epiphyses in patients who had had radiotherapy are described. These cases involved five patients in an "at risk" population of 48. This increased incidence is highly significant.

Slipping of the upper femoral epiphysis has been recognised since 1572 when it was first described by Pare, but its cause has not yet been fully determined. Treatment has been a controversial subject since the late nineteenth century when operative measures were first practised. The pendulum for and against operation has been swinging ever since, with a bias towards conservative treatment. The ...