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What causes slipped capital femoral epiphysis?

What causes slipped capital femoral epiphysis?

The exact cause of SCFE is not known. There are, however, many factors that are associated with this condition. These factors lead to weakening of the growth plate (also called the “physis”) which then causes the femoral head (ball of the femur) to slip off the neck of the femur. Obesity is a major risk factor.

What are the characteristics of a slipped capital femoral epiphysis?

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 common is slipped capital femoral epiphysis?

Slipped capital femoral epiphysis (SCFE) is a rare condition that is slightly more likely to occur in boys than girls. SCFE occurs in about one per 1,000 to one per 10,000 children and teens; children ages 12 to 14 years are most at risk.

Can SCFE heal on its own?

Early in the disease process, the body is sometimes able to heal itself by making new bone and strengthening the connection. Your child may then go weeks, months, or even years before the next episode of pain. Even more interesting is that some children grow into adulthood before they develop any hip pain.

Which pain characteristic is associated with an unstable slipped capital femoral epiphysis?

In summary, we found children with SCFEs are likely to limp or to report pain in the hip, thigh, or knee before onset of their SCFE for up to 6 weeks on average.

Is SCFE a disability?

SCFE occurs through the unfused growth plate of the proximal femur where the femoral head slips posteriorly on the femoral neck. Serious consequences of the problem, such as gait disturbance, post-traumatic arthritis, chondrolysis and osteonecrosis of the femoral head can occur, leading to lifelong disability.

Is SCFE surgery painful?

The pain is similar to what might be felt with a broken bone. The child probably won’t be able to move the injured leg. If you think your child has unstable SCFE, don’t force the leg to move. That could make the thigh bone slip even more.

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.

Who is most likely to suffer a slipped capital femoral epiphysis?

Slipped capital femoral epiphysis occurs during the adolescent growth spurt and is most frequent in obese children. Up to 40 percent of cases are bilateral.

Where is the pain with SCFE?

A patient with a stable SCFE: Will usually have intermittent pain in the groin, hip, knee and/or thigh for several weeks or months that usually worsens with activity. May walk or run with a limp after a period of activity.

What happens if SCFE is not treated?

Untreated SCFE may result in progressive deformity and pain, destabilization of the femoral epiphysis, and decreased range of motion of the hip joint.

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