What is the role of lab testing in the workup of slipped capital femoral epiphysis (SCFE)?

Updated: Dec 03, 2018
  • Author: Kevin D Walter, MD, FAAP; Chief Editor: Craig C Young, MD  more...
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Answer

Routine hormonal screening of children with slipped capital femoral epiphysis (SCFE) is not indicated.

Appropriate laboratory tests should be completed for endocrinopathies and medical disorders (hypothyroidism, low growth hormone level, pituitary tumors, craniopharyngioma, Down syndrome, renal osteodystrophy, and adiposogenital syndrome) in patients with an atypical presentation or other findings on history and physical examination that are consistent with endocrinologic disorders. Atypical presentation is considered for children who present with SCFE who are younger than age 10 years or older than 16 years, as well as for children who present with SCFE and short stature. It is also worth considering endocrinology laboratory testing for a patient who is not obese but who falls within the 10- to 16-year age range.


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