Grading the Outcome After Treatment of Slipped Capital Femoral Epiphysitis (SCFE)

The outcome of a patient treated for Slipped Capital Femoral Epiphysitis (SCFE) can be graded.

Patient selection: slipped capital femoral epiphysitis (SCFE)

Parameters:

(1) limp

(2) pain

(3) range of motion (ROM) for the hip

(4) other findings

Limp	Pain	Hip ROM	Other	Outcome
none	none	normal	none	excellent
none	none	internal rotation beyond neutral but slight limitation	none	good
none	none	slight limitation of internal rotation and abduction	none	fair
mild limp	mild after strenuous exercise	limitations of internal rotation, abduction and flexion	none	poor
moderate to severe limp	pain on activity	marked limitation in ROM requiring surgery	progressive radiologic changes in the hip	failure
NA	NA	NA	avascular necrosis	failure

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