| Slipped capital femoral epiphysis | |
|---|---|
| Other names | Slipped upper femoral epiphysis (SUFE), coxa vara adolescentium, skiffy, souffy |
 | |
| X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. | |
| Specialty | Orthopedics |
| Symptoms | Groin, hip, knee, or thigh pain, limp [1] |
| Usual onset | 8 to 15 years old [1] |
| Types | Stable, unstable [1] |
| Risk factors | Obesity, hypothyroidism, hypogonadism [1] |
| Diagnostic method | Hip X-rays [1] |
| Differential diagnosis | Adductor muscle strain (groin pull), transient synovitis, Legg-Calvé-Perthes disease, septic arthritis, avulsion fracture [1] |
| Treatment | No weight on affected leg, surgery [1] |
| Frequency | 1 per 10,000 children [1] |
Slipped capital femoral epiphysis (SCFE), also known as a skiffy, is a fracture through the growth plate, which results in slippage of the underlying femoral neck. [1] Symptoms generally include a limp and pain in the groin, hip, thigh, or knee. [1] Ability to fully move the affected hip may also be decreased. [2] Both sides may be affected in 20% to 50% of cases. [1] Complications may include avascular necrosis, chondrolysis, and femoroacetabular impingement. [1]
Risk factors include obesity, hypothyroidism, and hypogonadism. [1] Diagnosis is by Xraying both hips. [1] They are divided into two types: stable and unstable. [1] It is mild if the slip is less than a third, moderate if between a third and a half, and severe if greater than a half. [1] If the diagnosis is delayed a worse outcome may result. [1]
Treatment is generally by surgery. [1] Until this can be carried out the person should put not weight on that leg. [1] SCFE affects 11 per 100,000 children and in adolescents is the most common hip disorder. [1] It generally occurs in those 8 to 15 years old and is more common in males. [1] With rising rates of obesity in children the disease is becoming more common. [2] The condition has been described since at least 1572. [3]
References
- ^ a b c d e f g h i j k l m n o p q r s t u Peck, DM; Voss, LM; Voss, TT (15 June 2017). "Slipped Capital Femoral Epiphysis: Diagnosis and Management". American family physician. 95 (12): 779–784. PMID 28671425.
- ^ a b Karkenny, AJ; Tauberg, BM; Otsuka, NY (September 2018). "Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease". Pediatrics in review. 39 (9): 454–463. doi: 10.1542/pir.2017-0197. PMID 30171056.
- ^ Shapiro, Frederic (2002). Pediatric Orthopedic Deformities. Elsevier. p. 379. ISBN 978-0-08-053856-3. Archived from the original on 2021-08-29. Retrieved 2020-10-11.
| Slipped capital femoral epiphysis | |
|---|---|
| Other names | Slipped upper femoral epiphysis (SUFE), coxa vara adolescentium, skiffy, souffy |
|
| |
| X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. | |
| Specialty | Orthopedics |
| Symptoms | Groin, hip, knee, or thigh pain, limp [1] |
| Usual onset | 8 to 15 years old [1] |
| Types | Stable, unstable [1] |
| Risk factors | Obesity, hypothyroidism, hypogonadism [1] |
| Diagnostic method | Hip X-rays [1] |
| Differential diagnosis | Adductor muscle strain (groin pull), transient synovitis, Legg-Calvé-Perthes disease, septic arthritis, avulsion fracture [1] |
| Treatment | No weight on affected leg, surgery [1] |
| Frequency | 1 per 10,000 children [1] |
Slipped capital femoral epiphysis (SCFE), also known as a skiffy, is a fracture through the growth plate, which results in slippage of the underlying femoral neck. [1] Symptoms generally include a limp and pain in the groin, hip, thigh, or knee. [1] Ability to fully move the affected hip may also be decreased. [2] Both sides may be affected in 20% to 50% of cases. [1] Complications may include avascular necrosis, chondrolysis, and femoroacetabular impingement. [1]
Risk factors include obesity, hypothyroidism, and hypogonadism. [1] Diagnosis is by Xraying both hips. [1] They are divided into two types: stable and unstable. [1] It is mild if the slip is less than a third, moderate if between a third and a half, and severe if greater than a half. [1] If the diagnosis is delayed a worse outcome may result. [1]
Treatment is generally by surgery. [1] Until this can be carried out the person should put not weight on that leg. [1] SCFE affects 11 per 100,000 children and in adolescents is the most common hip disorder. [1] It generally occurs in those 8 to 15 years old and is more common in males. [1] With rising rates of obesity in children the disease is becoming more common. [2] The condition has been described since at least 1572. [3]
References
- ^ a b c d e f g h i j k l m n o p q r s t u Peck, DM; Voss, LM; Voss, TT (15 June 2017). "Slipped Capital Femoral Epiphysis: Diagnosis and Management". American family physician. 95 (12): 779–784. PMID 28671425.
- ^ a b Karkenny, AJ; Tauberg, BM; Otsuka, NY (September 2018). "Pediatric Hip Disorders: Slipped Capital Femoral Epiphysis and Legg-Calvé-Perthes Disease". Pediatrics in review. 39 (9): 454–463. doi: 10.1542/pir.2017-0197. PMID 30171056.
- ^ Shapiro, Frederic (2002). Pediatric Orthopedic Deformities. Elsevier. p. 379. ISBN 978-0-08-053856-3. Archived from the original on 2021-08-29. Retrieved 2020-10-11.