Evidence map›Paper›PMID 37238326›Full record

ReviewChildren (Basel, Switzerland)2023

Diagnosis of Slipped Capital Femoral Epiphysis: How to Stay out of Trouble?

Vito Pavone, Gianluca Testa, Paola Torrisi, Kathryn Louise McCracken, Alessia Caldaci, Andrea Vescio, Marco Sapienza

Open access · goldAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Long-term outcomes of the modified Dunn procedure in moderate and severe slipped capital femoral epiphysis: a prospective case series with 7-year follow-up.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Article
  2. Article
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Vito PavoneDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5664-8066
Gianluca TestaDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.ORCID 0000-0001-5246-9714
Paola TorrisiDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.
Kathryn Louise McCrackenSchool of Medicine, University College Cork, College Road, T12 K8AF Cork, Ireland.ORCID 0000-0001-8717-0560
Alessia CaldaciDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.
Andrea VescioDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-1677-927X
Marco SapienzaDepartment of General Surgery and Medical Surgical Specialties, Section of Orthopaedics and Traumatoogy, A.O.U.P. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.ORCID 0000-0002-8311-9132
University of Catania · ITUniversity College Cork · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder affecting children and adolescents aged between 9 and 16 years, affecting approximately 10 per 100,000 children per year. The diagnosis of SCFE is often delayed, leading to an increased risk of complications. This study aims to provide the latest evidence concerning the causes of diagnostic delay and risk factors for SCFE and to educate general practitioners and paediatricians to help reduce delays in diagnosis and provide earlier therapeutic intervention. A literature search was conducted in the ScienceDirect and PubMed databases according to the PRISMA statement. Suitable studies for this systematic review included 22 articles discussing the aetiology of SCFE, risk factors, and causes of late diagnosis. Causes of delayed diagnosis include underestimation by patients, initial diagnostic approach by a non-orthopaedic professional, inadequate imaging, failure to recognize morphological changes, and variation in symptomatic presentation. The underlying risk factors for SCFE are likely part of a multifactorial process which involves anatomical variations and the metabolism of leptin, growth hormone, insulin, and other metabolic parameters. This review highlights the importance of early recognition and diagnosis of SCFE and proposes an algorithm for physicians to approach children who may have this condition.

Indexed as

delaydiagnosisrisk factorsSCFEslipped capital femoral epiphysis

Identifiers

PMID37238326
PMCPMC10217581
OpenAlexW4367055355

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.