الفهرس 
BLOOD SUPPLY OF THE FEMORAL HEADOnly 14 pages are availabe for public view
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Abstract
SUMMARY and CONCLUSION
Slipped capital femoral epiphysis is the most common disorder of the hip in young adolescents. This disorder involves the progressive displacement of the proximal femur through the open growth plate.
A good history and physical examination should be considered for all newly diagnosed cases of SCFE and care of the unaffected hip must be put in consideration.
Many investigation are used for diagnosis of SCFE like X-Ray, bone scanning, CT and MRI.
Slipped capital femoral epiphysis (SCFE) can be idiopathic or atypical (associated with renal failure, radiation therapy, and endocrine disorders).
The primary goal in treatment of slipped capital femoral epiphysis (SCFE) is to prevent further slip by stabilizing the epiphysis.
Many methods are use in treatment of SCFE including non-operative and operative methods.
All these reported series of unstable slipped capital femoral epiphyses treated with the surgical dislocation technique have shown that this procedure is capable of restoring more normal proximal femoral anatomy by complete correction of the slip angle, and preserving function after a slip, such that probability of secondary osteoarthritis and femoroacetabular impingement may be minimized.
The complication rate from this procedure was low, even in the treatment of unstable slipped capital femoral epiphysis, compared with alternative procedures, and since it does not compromise the blood supply of the head of the femur, there will be minimal risk of avascular necrosis.
Having results confirming the safety and efficacy of the procedure, the surgical dislocation technique should be considered the treatment of choice for the unstable SCFE, However, The approach and the development of the extended retinacular flap is technically complex, with potentially catastrophic consequences if the blood supply to the femoral head is disrupted. Thus, it is best reserved for tertiary care centers and surgeons who have experience and/or specialized training with the surgical hip dislocation and the extended retinacular flap.