Using a fluoroscope — a special X-ray machine that produces a real-time image of the hip on a TV screen — as a guide, the surgeon will make a tiny incision near the hip, then put a metal screw through the bone and across the growth plate to hold it in place.
In rare cases, X-rays will come back normal, but the pain, stiffness, and other problems will still be there. J Bone Joint Surg Br. The delay in diagnosis of slipped capital femoral epiphysis: Revision of the screw fixation may be needed if the child "outgrows" the screw, placing the child at risk for a repeat slip.
The child may also walk with his or her leg turned outward. J Pediatr Orthop B. The need for close follow-up and early operative intervention if the other hip becomes symptomatic must be understood by the family. The screw is placed deep into the bone, and cannot be felt by patients after surgery.
Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible. Acute slipped capital femoral epiphysis: Compression fixation after biplane intertrochanteric osteotomy for slipped capital femoral epiphysis.
Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. Stress injury leading to slipped capital femoral epiphysis in a competitive adolescent tennis player: A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent.
However, with early detection and proper treatment, a good outcome with few problems is possible. The ultimate goal in SCFE is to diagnose the condition early in order to prevent the head of the femur from slipping further off of the thigh bone, thus preventing hip deformity.
Clin Orthop Relat Res. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.
When to Contact a Medical Professional If your child has ongoing pain or other symptoms of this disorder, have the child lie down right away and stay still until you get medical help.
Media Gallery A Klein line is a line drawn along the superior border of the femoral neck that would normally pass through a portion of the femoral head.
Is the timing of surgery associated with avascular necrosis after unstable slipped capital femoral epiphysis? In rare cases, the hip joint may wear away, despite prompt diagnosis and treatment. Pinning the unaffected side prophylactically is not recommended for most patients, but may be appropriate if a second SCFE is very likely.
Usually, SCFE is classified as:Slipped capital femoral epiphysis is the most common hip disorder in adolescents, and it has a prevalence of cases perchildren.
It usually occurs in children eight to 15 years of age. Slipped capital femoral epiphysis (SCFE) is a shift at the upper part of the thighbone, or femur, that results in a weakened hip joint. Fortunately, when caught.
Slipped capital femoral epiphysis (SCFE) is a hip condition that occurs in teens and pre-teens who are still growing. For reasons that are not well understood, the ball at the head of the femur (thighbone) slips off the neck of the bone in a backwards direction.
A slipped capital femoral epiphysis may affect both hips. An epiphysis is an area at the end of a long bone. It is separated from the main part of the bone by the growth plate.
In this condition, the problem occurs in the upper area while the bone is still growing. Slipped capital femoral epiphysis.
Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur.
Normally. Nov 30, · Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. Although SCFE is a rare condition, an accurate diagnosis combined with immediate treatment is critical.Download