If left untreated, the head may slip off the thigh bone completely and prevent the individual from being able to walk. If the hip heals in an abnormal shape, the patient can continue to have hip pain, limitations with range of motion, activity limitations, avascular necrosis, and early arthritis.
After Surgery Remember that old childhood song about how "The thighbone's connected to the hipbone"?
Well, the song may be silly, but one thing is true: A good, stable connection at the hip joint is what lets us walk, run, jump, and many other things. But in some kids — particularly those who are obese — the thighbone and the hipbone are a little less well connected than they should be because of a condition called slipped capital femoral epiphysis SCFE.
Though the term's quite a mouthful, it simply refers to a shift at the upper part of the thighbone, or femur, that results in a weakened hip joint. Fortunately, when caught early, most cases of SCFE can be treated successfully.
The hip is a ball-and-socket joint, which means that the rounded end of one bone in this case, the "ball" of the thighbone fits into the hollow of another bone the acetabulum, or cup-shaped "socket" of the pelvis.
Ball-and-socket joints offer the greatest range of movement of all types of joints, which explains why we can move our legs forward, backward, and all around. In kids and teens who are still growing, there is also a growth plate at the top of the thighbone, just under the "ball" portion also known as the femoral head of the joint.
This growth plate is called the physis and it's made of cartilage, which is weaker than bone. The job of the physis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow. When a child has SCFE, the femoral head of the thighbone slips through the epiphysis, almost the way a scoop of ice cream might slip off a cone.
Sometimes this happens suddenly — after a fall or sports injury, for example — but often it occurs gradually with no prior injury. Usually, SCFE is classified as: This is referred to as a "mild slip," which causes a child to experience some stiffness or pain in the knee or groin area, and possibly to develop a limp.
The pain and the limp usually tend to come and go, worsening with activity and getting better with rest. With stable SCFE, a person is still able to walk, even if crutches are needed.
This is a more severe slip that is usually much more painful. A child might not be able to bear weight on the affected side, and because range of motion tends to be severely limited, the affected foot and leg might begin to turn outward.
An unstable SCFE is also more serious because it can restrict blood flow to the hip joint, leading to tissue death in the head of the femur. Sometimes SCFE can irritate the nerves that run down the leg, causing referred pain pain that originates in one part of the body but is felt in another.
In this case, pain originates in the abnormal hip joint but is felt in the normal knee joint. Though some cases of SCFE affect only one hip, many are eventually found to be bilateral affecting both hips. When SCFE affects one hip, doctors may closely watch the other to see if it develops SCFE; or, if that's considered very likely, may recommend treatment of the other hip at the same time.
Catching SCFE early makes a big difference in how easily doctors can treat it. It's more common in boys, though girls can be affected, too. It's also more likely in kids who have the following risk factors, all of which can affect bone health: The doctor will perform a thorough physical examination, checking the range of motion of the hips and legs and seeing if there is any pain.
He or she will also take X-rays of the hips to look for any displacement at the head of the thighbone.Slipped capital femoral epiphysis 1. Dr Varun Sapra 2.
SCFE – Femoral neck and shaft displace relative to the femoral epiphysis and the acetabulum Misnomer as neck displaces relative to the epiphysis Usually, upward & anterior Head remains posterior and downward in the acetabulum.
Slipped capital femoral epiphysis, or SCFE, is a disorder of the hip joint. This condition takes place when the ball at the end of the thigh bone slips off the thigh bone at the growth plate. This is caused by a weakness in the growth plate.
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Slipped capital femoral epiphysis (SCFE) is a condition that affects the hip most often in teenagers between the ages of 12 and Cases have been reported as early as age nine years old. In this condition, the growth center of the hip (the capital femoral epiphysis) actually slips backwards on the top of the femur (the thighbone).
Slipped capital femoral epiphysis (SCFE) is a condition of the hip joint that affects children. In SCFE, the head, or "ball," of the thigh bone (referred to as the femoral head) slips off the neck of the thigh bone.