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Understanding Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis (SCFE) is a condition primarily affecting adolescents, where the growth plate at the top of the thighbone (femur) slips off the neck of the bone.

This displacement can occur gradually or suddenly, causing pain and impairing the normal movement of the hip joint.

Side Effects of Slipped Capital Femoral Epiphysis (SCFE)

Patients with SCFE often experience:

  • Hip Pain: Persistent discomfort in the hip or groin area, exacerbated by movement or weight-bearing activities.
  • Limping: Difficulty walking normally due to pain and restricted range of motion.
  • Decreased Range of Motion: Limited ability to move the hip joint fully.
  • Leg Length Discrepancy: One leg may appear shorter than the other due to the slip affecting growth.

How is Slipped Capital Femoral Epiphysis (SCFE) Diagnosed?

Diagnosing SCFE typically involves:

  • Physical Examination: A thorough assessment of symptoms, gait, and range of motion.
  • Imaging Studies: X-rays are crucial to confirm the diagnosis and assess the degree of slippage. They reveal the displacement of the femoral head relative to the femoral neck.
  • MRI (Magnetic Resonance Imaging): Sometimes used to further evaluate the soft tissues around the hip joint.

Potential Treatment of Slipped Capital Femoral Epiphysis (SCFE)

Treatment aims to stabilize the femoral head and prevent further slippage. Options include:

  • Surgical Fixation: Most cases require surgical intervention to stabilize the femoral head using screws or pins. This procedure helps to maintain the normal alignment and prevent complications such as avascular necrosis (bone death due to loss of blood supply).
  • Physical Therapy: Post-surgery, physical therapy is crucial to regain strength, improve range of motion, and prevent future hip problems.
  • Monitoring Growth: In cases where SCFE affects both hips or occurs during periods of rapid growth, ongoing monitoring is essential to detect and manage any potential complications early.


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