Slipped Capital Femoral Epiphysis (Pediatric)
What is slipped capital femoral epiphysis?
Slipped capital femoral epiphysis is a condition of the hip that usually affects adolescents. It occurs when the head of the femur, which acts as the ball that normally sits in the socket of the hip joint, displaces slightly from the rest of the bone.
What causes slipped capital femoral epiphysis?
The factors triggering this condition are largely unknown. Most likely, a variety of factors may be involved in weakening the region of bone at the top of the femur, which eventually displaces.
Who is affected by slipped capital femoral epiphysis?
This condition is more common in obese adolescent boys ages 9-16 with the average age at 13-14 years. Slipped capital femoral epiphysis also occurs in girls ages 9-16 with the average age at 12-13 years.
How is slipped capital femoral epiphysis diagnosed?
Diagnosis entails taking a close patient history noting the onset of symptoms, performing a comprehensive physical exam, and doing X-rays of the hip.
What is the treatment for slipped capital femoral epiphysis?
Our doctors aim to prevent any further slipping or displacement in the head of the femur. In most cases, a procedure called in-situ pinning is performed in the operating room: two screws are inserted into the hip without making a major incision or opening. They extend up the length of the femoral neck and into the femoral head, thereby stabilizing the epiphysis or growth plate.
In some instances, prophylactic pinning of the other hip may be performed based on the available information of risk factors.