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Welcome, eCureMe.com medical contents search April 26, 2013
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Slipped Capital Femoral Epiphysis

more about Slipped Capital Femoral Epiphysis


  • Slipped capital femoral epiphysis (SCFE) is a common disorder that occurs in late childhood as a result of the displacement of the upper femoral epiphysis (upper end of thigh bone where bony growth occurs) from its normal position.

  • Hip, knee and/or groin pain
  • Walking difficulty or limp
  • The affected leg seems to be shorter than the other side
  • Restricted range of motion when turning the femur inward or lifting the affected leg

  • The cause is unknown
  • SCFE can also occur after injury
  • It affects children between 10 and 16 years of age

  • The diagnosis is made by the following characteristic clinical features:
    1. Physical examination 
    2. X-ray test, which will show the displacement of the femoral epiphysis.

  • Being overweight
  • Rapidly growing children and athletes
  • It is more common in boys than in girls

  • Surgery is a treatment of choice.
  • Stabilizing the affected hip is done by holding the top half of the femur in the correct place with screws or wires.
  • If the treatment is delayed, the displacement can worsen.

  • The complications of SCFE include avascular necrosis (tissue death in the part of the femur close to the hip joint, due to lack of blood supply), cartilage necrosis (death of the cartilage cells in the growth plate), and osteoarthritis of the hip (that is, degenerative arthritis).  The early diagnosis and treatment is important to prevent avascular necrosis and osteoarthritis.

  • Consult a physician.




more about Slipped Capital Femoral Epiphysis


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