What is slipped capital femoral epiphysis? Slipped capital femoral epiphysis (SCFE) a disorder of adolescents in which the growth plate is damaged and the femoral head moves (“slips”) with respect to the rest of the femur. The head of the femur stays in the cup of the hip joint while the rest of the femur is shifted.

What is an epiphyseal slippage?

What is slipped capital femoral epiphysis? Slipped capital femoral epiphysis (SCFE) a disorder of adolescents in which the growth plate is damaged and the femoral head moves (“slips”) with respect to the rest of the femur. The head of the femur stays in the cup of the hip joint while the rest of the femur is shifted.

What is a possible complication of capital femoral epiphysis?

Complications following SCFE include avascular necrosis (degeneration of the femoral head), chondrolysis (rapid onset of painful arthritis), and impingement.

What causes slipped capital femoral epiphysis?

SCFE is also more likely in kids who have these risk factors, which can affect bone health: obesity. Carrying extra weight puts increased pressure on the growth plate. endocrine disorders such as diabetes, thyroid disease, or growth hormone problems.

How do you fix a slipped capital femoral epiphysis?

SCFE is always treated with surgery to stabilize the growth plate that slipped. But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.

How painful is SUFE?

The child may complain of vague pain in the groin, thigh or knee. SUFE commonly presents with knee pain as the only presenting complaint. A very reliable sign of a chronic SUFE, even when mild, is detection of obligatory external rotation during flexion of the hip.

How is SUFE diagnosed?

Diagnosis of SUFE is usually made by physical examination of hip movement and an X-ray. Sometimes further imaging (e.g. an MRI) is also needed to diagnose a SUFE.

Can adults get slipped capital femoral epiphysis?

Slipped capital femoral epiphysis (SCFE) is a condition which predominantly occurs in adolescents. SCFE is extremely rare in adults, and nearly all previous reported cases have been associated with an endocrine disorder.

What does a slipped capital femoral epiphysis feel like?

The head of the femur slips off the neck of the bone at the growth plate. Typically, SCFE occurs in overweight children between 11 and 16 years old. Symptoms of SCFE include pain in your teen’s groin, knee or hip; walking with a limp and inability to bear weight on the leg.

How do I know if I have slipped capital femoral epiphysis?

Symptoms of Slipped Capital Femoral Epiphysis Limping. Mild pain in the hips, groin or around the knees. Severe pain that makes children stop putting weight on the leg that hurts. Stiffness in the hip.

Is slipped capital femoral epiphysis painful?

He or she will usually have a limp that comes and goes. It’s worse with activity and gets better with rest. Stable SCFE can cause pain or stiffness in the hip, groin or knee.

Can your hip slip in and out?

Hip dislocation is a painful event in which the ball joint of your hip comes out of its socket. It usually occurs from a significant traumatic injury. (Artificial hip replacements are somewhat easier to dislocate.) A dislocated hip is a medical emergency.

Is SUFE an emergency?

If your child has groin, hip, thigh and/or knee pain, see your GP. If your child has all of the symptoms of SUFE (above), make sure they do not place any weight on either leg (they should be carried, or use a wheelchair), and go to a hospital emergency department as soon as possible.

What is slipped capital femoral epiphysis (✀SCFE ✁)?

Slipped capital femoral epiphysis (SCFE) is a hip condition that occurs in teens and pre-teens who are still growing. For reasons that are not well understood, the ball at the head of the femur (thighbone) slips off the neck of the bone in a backwards direction.

How do you diagnose slipped capital femoral epiphysis?

Slipped capital femoral epiphysis Diagnosis The pediatric orthopaedic specialist will obtain a complete medical history and do a thorough physical exam. He/she will also order x-rays which will make the final diagnosis. In rare instances, an MRI may be needed if the x-rays are inconclusive.

Can growth hormone therapy cause slipped capital femoral epiphysis?

1 Department of Pediatrics, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan. Slipped capital femoral epiphysis (SCFE) is a rare complication of growth hormone (GH) therapy. Here, we report three patients who developed SCFE during GH therapy.

Where does the epiphysis fall off the femur?

In SCFE, the epiphysis, or head of the femur, slips down and backward off the neck of the bone at the growth plate, the weaker area of bone that has not yet developed. An illustration and X-ray of a left SCFE.