Slipped Capital Femoral Epiphysis (SCFE)
Slipped Capital Femoral Epiphysis (SCFE) in children is an important condition in pediatric and adolescent orthopedic surgery. It occurs when the head of the femur slips from its normal position at the growth plate, leading to hip or knee pain and difficulty walking. Early diagnosis and prompt treatment reduce potential complications and preserve long-term joint function.
Case Definition
Definition of the Condition
Slipped Capital Femoral Epiphysis (SCFE) is a condition where the stability of the femoral head is compromised during childhood or adolescence, causing it to slip partially or completely from its normal position. It most commonly occurs in early adolescence and is more frequent in boys, especially those who are overweight or have growth-related bone issues.
Symptoms to Watch For
• Pain in the hip, thigh, or knee.
• Difficulty or pain when walking or kneeling.
• Reduced hip range of motion, especially internal rotation.
• The child may move the leg unusually while walking.
• In advanced cases: noticeable difference in leg length.
Causes of Slipped Femoral Head
• Weak growth plates during rapid growth periods.
• Overweight or obesity.
• Hormonal changes during adolescence.
• Family history of the condition in some cases.
• Certain medical conditions such as thyroid disorders or bone marrow issues.
Diagnosis
• Clinical examination: assess hip movement and rotation.
• X-rays: determine the degree and location of the slip.
• In some cases: MRI to evaluate ligaments and cartilage.
• General lab tests before surgery to assess overall health.
Treatment Options
• Surgical pinning: stabilize the femoral head with a metal screw to prevent further slipping.
• Close monitoring: for very mild cases and some younger children.
• Physical therapy post-surgery: restore movement and strengthen hip muscles.
Early surgical intervention is essential to avoid complications such as chronic hip dislocation or early joint degeneration.
Expectations and Follow-Up
• Most children regain normal movement after hip stabilization.
• Ongoing monitoring of hip and femur growth in the following months and years.
• Adherence to physical therapy exercises to strengthen surrounding muscles.
Tips for Parents After Diagnosis or Surgery
• Avoid carrying the child or allowing vigorous activity until the hip is securely stabilized.
• Keep all follow-up appointments and X-rays.
• Watch for any pain, swelling, or warmth in the joint post-surgery.
Frequently Asked Questions about Slipped Capital Femoral Epiphysis
We fully understand the importance of having all the necessary information to make informed decisions about your health. So, we have compiled the most frequently asked questions about Slipped Capital Femoral Epiphysis in children and provided clear and reliable answers. We hope this section helps you gain a better understanding of the condition.
Not always. Very mild cases may be carefully monitored, but most cases require surgical pinning to prevent further slippage.
Usually after several weeks to months, depending on the surgical fixation and adherence to physical therapy exercises. The doctor should be consulted to determine the appropriate time for each case.
Register Your Interest! Fill out the form easily.
Contact Us Now
We are always here to assist you with everything related to the health of your bones and joints. Whether you want to book an appointment, have a question about a specific medical condition, or need clarification about our services, our team is ready to answer all your inquiries. Don’t hesitate to contact us by phone or email, or visit us at the clinic during working hours. Your health is our priority, and we look forward to providing you with the care you deserve.