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Definition:

·        The proximal epiphysis (ball of hip socket) of the femur (thigh bone) slips out of its normal place in the hip socket.

Cause:

• The cause of the slipping is unknown in most patients, although overweight or tall/lean children who have recently had a growth spurt are most frequently affected.

Signs and Symptoms:

• SCFE is progressive in nature
• Prior to the slipping of the epiphysis your child may complain of mild pain in the groin area, which gets better with rest. Your child may also walk with a slight limp. The child may also complain of knee pain on the affected leg. At this stage, there may not be any obvious finding during a physical exam by the Physician.
• As the epiphysis slips out of place, your child may complain of increased pain with a more obvious limp. On examination, your child may have some limitation of the motion of his hip along with some tenderness around the hip joint. A deformity will gradually develop, with the affected leg turning outward more than the opposite side.

Incidence:

• SCFE occurs mainly in the adolescent age group (13-16) with males being affected more frequently than females (2-5 times more frequently).
• A higher incidence of SCFE is seen in the left hip.
• 20-50% of cases show involvement of both hips.

Treatment:

• X-Rays will need to be taken to make a diagnosis of SCFE.
• Surgery - In order to hold the bone (epiphysis) in the proper position, pins or screws are usually used. This procedure is performed in the operating room. Prior to surgery, the child may be instructed to use crutches, or may be admitted to the hospital for traction.
• There is no effective non-operative treatment for SCFE.