19 Sep 2022


Slipped Capital Femoral Epiphysis

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Slipped Capital Femoral Epiphysis is a hip condition that is prevalent in teen and pre-teens who are still undergoing growth. The ball at the head of the thighbone slips from the neck of the bone in a backward direction (Schur et al., 2016). This condition results in pain, instability, and stiffness in the bone that is affected. The major symptoms may include sudden onset of pain, problem walking with the affected leg, outward turning of the affected leg, and discrepancy in leg length. 

The diagnosis of this condition requires the doctor to ask about the child’s general and medical history. The doctor will also examine the symptoms and when they began to understand if the disease is Slipped Capital Femoral Epiphysis. The doctor will perform extermination of the affected hip and leg and determine the extent of the extremes of motion, the limited range of motion and the muscle guarding the muscle (Thawrani, Feldman & Sala, 2016). Another way to diagnose this condition is through the x-ray. The x-ray allows the doctor to view the internal structure of the bone before making a diagnosis. When the bone is unstable and has limited motion, the patient can be diagnosed with the condition. 

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The treatment and management of Slipped Capital Femoral Epiphysis are aimed at preventing the displaced femur from slipping further at the joint. This can be done through surgery. Early diagnosis is usually preferred to ensure that the complications are prevented early enough using the surgery procedure. When the patient has unstable Slipped Capital Femoral Epiphysis, the doctor can at first make an open incision in the hip and then reduce the head of the back to its normal position. This helps fix the bone before it is strengthened by two metals that are used to support the bones to their normal position. 


Schur, M. D., Andras, L. M., Broom, A. M., Barrett, K. K., Bowman, C. A., Luther, H., ... & Skaggs, D. L. (2016). Continuing delay in the diagnosis of slipped capital femoral epiphysis.  The Journal of Pediatrics 177 , 250-254. 

Thawrani, D. P., Feldman, D. S., & Sala, D. A. (2016). Current practice in the management of slipped capital femoral epiphysis.  Journal of Pediatric Orthopaedics 36 (3), e27-e37. 

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StudyBounty. (2023, September 14). Slipped Capital Femoral Epiphysis.


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