Slipped Capital Femoral Epiphysis

Alternate Names : SCFE

What are the treatments for the condition?

Immediate treatment is used for most slips that cause sudden symptoms. Initial treatment usually consists of the use of crutches with no weight bearing on that leg. Surgery is then usually performed to correct the slippage. An orthopedic surgeon, or bone specialist, generally performs the surgery.

Surgery may involve placing a metal pin through the skin and into the hip's growth plate. If the slipping is more severe, the hip area may need to be cut open. In this procedure, the epiphysis can be put back in its proper place on the end of the bone.

In some cases, the condition happened a while ago and has healed in the slipped position. In this setting, treatment often consists of observation alone. For a severe slip, an operation may be needed to realign the hip.

What are the side effects of the treatments?

If not treated promptly, the slip may progress. Death of the bone cells in the epiphysis is a rare problem. Surgery may cause bleeding, infection, or allergic reaction to anesthesia. Rarely, the cartilage in the hip joint may dissolve, causing arthritis in an adolescent. There is also potential for arthritis as an adult.

What happens after treatment for the condition?

After surgery, a person should avoid vigorous sports or other activities until healing is complete. This usually takes a few weeks. The individual may need to use crutches for several weeks. In severe cases, a cast may be needed for several weeks, and the person is unable to walk until the cast is removed. After the growth area has fused, or become solid, the hip is strong. The person may be fully active, unless arthritis symptoms are limiting.

How is the condition monitored?

After complete and proper treatment, no further monitoring may be needed on the affected side. However, it is important to pay particular attention to symptoms or signs in the opposite hip. Joint X-rays can be taken to ensure that a similar problem does not exist. Any new or worsening symptoms should be reported to the healthcare provider.