Slipped Capital Femoral Epiphysis - Topic Overview
Slipped Capital Femoral Epiphysis Guide
How is it treated?
The goal of treatment for a slipped capital femoral epiphysis is to prevent further slippage, restore the normal position of the bones, and reduce complications of the condition. This often involves surgery to secure the growth plate (physis) with a single screw or with pins. Osteotomy may be used in a severe case, but this is rare. In an osteotomy, the doctor cuts the bone at the top of the leg near the hip joint, moves the bone to a more normal position, then uses metal pins to hold it in place. The pins are usually left in the bone after it heals.
Crutches may be used to take weight off the hip. Before surgery, this prevents further slippage and helps reduce pain. After surgery, using crutches reduces pain and helps keep the hip stable and in good position as it heals.
A slipped capital femoral epiphysis may lead to early degenerative arthritis of the hip if it is not detected early and treated properly.
Who is affected by a slipped capital femoral epiphysis?
A slipped capital femoral epiphysis is the most common serious hip condition seen in teenagers. It is more common in boys than in girls and more common in very overweight teenagers. The condition most commonly affects young adolescents, ages 10 to 16 years.