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Slipped Capital Femoral Epiphysis

more about Slipped Capital Femoral Epiphysis


SCFE



  • 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 the normal position.

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

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

  • The diagnosis is made by the characteristic clinical features, physical examination, and X-ray test.  An X-Ray will show the displacement of femoral ephiphysis.

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

  • The surgery is a treatment of choice.  Stabilization of the affected hip is achieved by fixation with screws or wires.  If the treatment is delayed, the displacement can worsen.  The complications of SCFE include avascular necrosis, cartilage necrosis and Osteoarthritis of the hip.  The early diagnosis and treatment is important to prevent avascular necrosis and Osteoarthritis.




more about Slipped Capital Femoral Epiphysis


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