ArticleActa radiologica (Stockholm, Sweden : 1987)2024
Comparison of different radiographic methods to measure the slip angle in children with slipped capital femoral epiphysis (SCFE).
Article in Acta radiologica (Stockholm, Sweden : 1987), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Direct anterior approach for open correction of Slipped Capital Femoral Epiphysiolysis: surgical technique and clinical outcome.Journal of clinical orthopaedics and trauma · 2026Article
- Association Between Body Weight and Clinical Characteristics of Slipped Capital Femoral Epiphysis in Switzerland: A 21-Year Single-Centre Retrospective Analysis (2005-2025).Journal of clinical medicine · 2026Article
- The Swedish experience of capital realignment surgery for slipped capital femoral epiphysis: results from a nationwide retrospective cohort of 28 patients.Acta orthopaedica · 2026Article
- Evaluation of the Reliability of Radiographic and MRI Angles in Superior Femoral Epiphysiolysis: A Comparative Study.Diagnostics (Basel, Switzerland) · 2026Article
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7 authors.
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Abstract
backgroundThe management of patients with slipped capital femoral epiphysis (SCFE) requires imaging diagnostics of good quality and accurate measurement of the degree of slippage. In Sweden, three different radiological methods are commonly used: the calcar femorale method; the Billing method; and the Head-shaft angle described by Southwick. PURPOSE: To evaluate whether any of the three most common methods used in Sweden to measure the slip angle was more useful and reproducible than the others. MATERIAL AND
methodsTwo experienced orthopaedists measured the slip angle in preoperative hip radiographs. Intra- and inter-observer variability between the two experienced observers and the reported value by clinicians who treated the child with SCFE was evaluated.
resultsThe intraclass correlation coefficient (ICC) confidence interval (CI) between the two experienced observers and the reporting clinicians overlapped for the three methods. In 37% of the cases, the difference was more than 5° between the experienced observers' measurement and the reported value by clinicians. The two experienced orthopaedists' intra- and inter-observer variability was low.
conclusionThe observer's experience is more important than the method of choice when measuring the slip angle in SCFE. The research group recommends the calcar femorale method due to its feasibility on the versatile and commonly used frog leg lateral view.
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