Complications Although early detection and proper treatment of SCFE will help decrease the chance of complications, some patients will still experience problems.
Slipped capital femoral epiphysis causes
New bone is formed at a specific area of the bone called the growth plate. Does skeletal maturity predict sequential contralateral involvement after fixation of slipped capital femoral epiphysis? In this x-ray, two screws have been inserted in the patient's right hip to stop progression of a slip. Author disclosure: Nothing to disclose. They are almost always approaching their teenage years or just into them adolescents when the problem occurs. The epiphysis at the upper end of the femur is the growth center that eventually becomes the femoral head. Treatment always involves surgery.
How is SCFE treated in a child? Children with more severe slips have a greater risk that the fracture will not heal.
Unstable SCFE. Sometimes this happens suddenly — after a fall or sports injury, for example — but often it happens gradually with no prior injury.
If this is the case with your child, your doctor may recommend inserting a screw into his or her unaffected hip at the same time to reduce the risk of SCFE. In stable SCFE, the patient is able to walk or bear weight on the affected hip, either with or without crutches.
Diagnosis and treatment of slipped capital femoral epiphysis.
Slipped capital femoral epiphysis ppt
See our fact sheet Wound care. Complications associated with SCFE are much more common in patients with unstable slips. But most cases are in kids between 11 and 16 years old who are going through a growth spurt. In addition, there may be a change in their gait, or the way they walk, as they try to put as little weight as possible on the affected side. SCFE causes hip pain that gets worse with activity. Your orthopaedic surgeon will discuss this with you. Nurses will give you instructions on how to care for the dressing after your child has returned home. Illustration and x-ray of in situ fixation. The authors of these consumer health information handouts have made a considerable effort to ensure the information is accurate, up to date and easy to understand. While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present. In extreme cases, it is important to perform surgery on the day of diagnosis. Description SCFE is the most common hip disorder in adolescents. Slipped capital femoral epiphysis update. The job of the physis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow.
Procedures The surgical procedure your doctor recommends will depend upon the severity of the slip. This is always accomplished through surgery.
Children with a family history of SCFE.
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