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Related Concept Videos

Bones of the Lower Limb: Femur and Patella01:16

Bones of the Lower Limb: Femur and Patella

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Knee Joint01:23

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The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
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Ankle Joint01:10

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Related Experiment Video

Updated: Jan 18, 2026

The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
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Reverse slipped capital femoral epiphysis.

Darren Moloney1, Claire Kathleen Stenson2,3, Conor Brosnan4,5

  • 1Saint James's Hospital, Dublin, Ireland.

BMJ Case Reports
|September 10, 2025
PubMed
Summary

Slipped capital femoral epiphysis (SCFE) is a rare pediatric hip condition. This case study details the first reported instance of a "reverse SCFE" and its surgical management.

Keywords:
Orthopaedic and trauma surgeryOrthopaedicsPaediatric SurgeryPaediatricsRadiology

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Area of Science:

  • Orthopaedic Surgery
  • Pediatric Orthopaedics
  • Hip Disorders

Background:

  • Slipped capital femoral epiphysis (SCFE) is a rare pediatric hip condition with challenging diagnosis and potentially severe long-term consequences.
  • Typical SCFE involves anterosuperior displacement of the femoral metaphysis relative to the epiphysis, causing leg shortening and external rotation.
  • Sequelae of SCFE can persist into adulthood, impacting hip function.

Purpose of the Study:

  • To report the first known case of a "reverse SCFE" in the medical literature.
  • To describe the orthopaedic management and surgical approach for this unique presentation.
  • To re-evaluate fundamental surgical procedures for restoring physiological acetabular-femoral alignment in SCFE variants.

Main Methods:

  • Presentation of a unique case of "reverse SCFE" in a pediatric patient.
  • Detailed description of the orthopaedic surgical intervention.
  • Analysis of the surgical strategy focused on restoring normal hip biomechanics.

Main Results:

  • Successful surgical management of the "reverse SCFE" case.
  • Restoration of physiological acetabular-femoral alignment was achieved.
  • Demonstration of adaptable surgical techniques for atypical SCFE presentations.

Conclusions:

  • "Reverse SCFE" is a distinct entity requiring tailored surgical management.
  • Rethinking standard surgical procedures is crucial for addressing rare SCFE variations.
  • Effective management can restore normal hip alignment and function in complex pediatric hip conditions.