In general, expect that your child will need crutches or a walker for up to about four weeks after surgery for stable SCFE and for at least six to eight weeks for unstable SCFE. Your child will work with a physical therapist to help strengthen leg and hip muscles and improve range of motion.
What is a possible complication of capital femoral epiphysis?
Complications following SCFE include avascular necrosis (degeneration of the femoral head), chondrolysis (rapid onset of painful arthritis), and impingement.
Can SCFE happen again?
In SCFE, the “ball” (called the epiphysis) slips off of the top part of the femur, almost the way a scoop of ice cream might slip off a cone. Sometimes this happens suddenly — after a fall or sports injury, for example. But it can also happen gradually, with no previous injury.
How soon can you walk after SCFE surgery?
After surgery to fix a SCFE, the child will need to walk with crutches for 6 to 8 weeks. The child may be referred to a physical therapist for treatment during recovery. Follow-up is vital every 3 to 4 months for the next several years to recheck the treated hip.
Can you play football after SCFE surgery?
Depending on the severity of the slippage, most children may return to sports about 6 months after an operation to treat a slipped capital femoral epiphysis. Some contact and collision sports may be restricted, especially in children with more severe cases.
Is slipped capital femoral epiphysis a fracture?
In SCFE, the top or cap of the ball slips off the femoral head through the growth plate. Think of the ball as being like a scoop of ice cream that falls off its “cone,” the thighbone. It is a kind of break (fracture). Almost all children with the condition have surgery.
What is SCFE surgery?
+Surgery. During surgery for SCFE, the doctor will probably reposition the slip in the hip. Then, the doctor will make a small cut (incision) near your child’s hip. The doctor will put a metal screw through the bone and the growth plate in the cap of the femoral head. This helps make the bone stable.
Is slipped capital femoral epiphysis common?
Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children.
Can adults get slipped capital femoral epiphysis?
It commonly occurs in adolescents between 10 and 16 years. Slipped capital femoral epiphysis in adults is uncommon, with only 10 cases reported in the literature.
What is the prognosis of Slipped capital femoral epiphysis?
Slipped Capital Femoral Epiphysis Surgery. SCFE is not life-threatening. However, untreated and complicated SCFE can lead to deformity and early osteoarthrosis of the hip and thus can cause considerable morbidity. Factors that increase morbidity include avascular necrosis (AVN) of the hip and chondrolysis.
Is hip replacement necessary after SCFE?
What they uncovered with the study was the understanding that hip replacement following a diagnosis of SCFE occurred most often because of hip necrosis not degenerative hip arthritis. Future treatment should be focused on preventing avascular necrosis in severely slipped, unstable hips.
What happens when the head of the femur slips off?
The head of the femur slips off the neck of the bone at the growth plate. Typically, SCFE occurs in overweight children between 11 and 16 years old. Symptoms of SCFE include pain in your teen’s groin, knee or hip; walking with a limp and inability to bear weight on the leg.
What are the treatments for scoliosis of the femur (SCFE)?
Procedures used to treat SCFE include: In situ fixation. This is the procedure used most often for patients with stable or mild SCFE. The doctor makes a small incision near the hip, then inserts a metal screw across the growth plate to maintain the position of the femoral head and prevent any further slippage.
