Slipped capital femoral epiphysis (SCFE), also known as juvenile femoral head dissolution, is an orthopaedic disorder in children and young people. Slipped capital femoral epiphysis occurs mainly in the age group between 10 and 14. Boys are three times more likely to be affected as girls. In this, the femoral head comes loose from the growth plate on the femoral neck. This is an emergency which must be treated operatively immediately. In half of cases, the disorder occurs on both sides.
The precise causes of SCFE are not known. Children and young people who are overweight are more frequently affected by it. Excessive physical strains are additional factors.
Young people affected suffer severe pain and restriction of movement in the hip area. There may also be pains in the knee on the inside of the knee.
Diagnosis is made by an x-ray examination on 2 levels.
As this is an emergency, the operation must be carried out as quickly as possible to avoid long-term effects. Various surgical procedures are possible, depending on the situation. There are no alternatives to an immediate operation in the event of slipped capital femoral epiphysis. The aim of the intervention is to prevent further slippage of the femoral head and re-establish the normal situation (re-position).
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