Slipped Capital Femoral Epiphysis (SCFE)
Introduction
SCFE, a form of dislocation, is the most common hip disorder to strike young teenagers. It targets children aged 10 to 18 and in America is found to be more likely to appear in African-American boys and children who are overweight or athletic. More than one third of the time, it affects both hips.
Anatomy
SCFE occurs before the upper end of the child’s thighbone has had time to fully develop into solid bone. (This portion of the bone, called an epiphysis, grows separately from the rest.) The partially developed epiphysis is liable to slip out of the hip socket. The dislocation can lead to deformity.
Causes
The cause of SCFE is unknown, but some experts think it may result from thickening of the growth plate (the part of a bone where growth occurs) caused by growth hormones and estrogen. Other experts think that a minor injury or fall can cause the partially formed epiphysis to slip out of place.
Symptoms
This condition develops gradually. The child will begin to feel pain in the hip joint or knee, then start to limp. The limp may get worse with activity. The affected leg may be shorter than the other, and the child’s foot tends to turn outward.
Diagnosis
A history and physical exam will help your doctor diagnose SCFE. X-rays and MRI may be helpful in confirming the diagnosis.
Treatment
The doctor may have to surgically implant pins in the growth plate to
stabilize it, help it fuse, and prevent further displacement. The doctor may
also want to pin the child’s other hip to prevent it from developing the
same problem.
Related site pages |
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| www.hip-replacement.org.uk | |
| www.hip-surgery.org.uk | |
| www.hip-resurfacing.zimmer.co.uk | |
| www.arthritis-1.org.uk |
