How is SCFE diagnosed?
Patients with SCFE usually present with limping and poorly localized pain in the hip, groin, thigh, or knee. Diagnosis is confirmed by bilateral hip radiography, which should include anteroposterior and frog-leg views in patients with stable SCFE, and anteroposterior and cross-table lateral views in unstable SCFE.
Is SCFE an emergency?
SCFE is usually an emergency and must be diagnosed and treated early. In 20 to 40 percent of affected children, SCFE will be present in both hips at the time the child is diagnosed. If only one hip is affected, the other hip will eventually slip 30 to 60 percent of the time. Treatment is surgical.
What is the treatment for SCFE?
Treatment. SCFE is always treated with surgery to stabilize the growth plate that slipped. But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.
How painful is SCFE?
A stable SCFE causes some stiffness or pain in the knee or groin area, and possibly a limp that causes a child to walk with a foot outward. The pain and the limp usually tend to come and go, worsening with activity and getting better with rest. With stable SCFE, a child still can walk, even if crutches are needed.
What is slipped capital femoral epiphysis (SCFE)?
Slipped capital femoral epiphysis (SCFE) is not frequently encountered during routine practice and diagnosis and treatment are often delayed. It is important to understand symptoms and imaging features to avoid delayed diagnosis. After the diagnosis is made correct classification of the disease is required.
What is SCFE (SCFE)?
SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children. SCFE is classified as stable or unstable based on the stability of the physis.
What are the physical findings characteristic of spinal cord entrapment syndrome (SCFE)?
On physical examination, the patient may be unable to bear weight with a severe slip. Limited internal rotation of the hip is the most telling sign in the diagnosis of SCFE. 8 Obligatory external rotation is noted in the involved hip of patients with SCFE when the hip is passively flexed to 90 degrees 1, 4, 8 ( Figure 2).
What are the possible complications of SCFE?
Unfortunately, there are several severe complications that can result from SCFE and its treatment. The first is “ osteonecrosis .” “Osteo” means bone and “necrosis” means death. In osteonecrosis, the blood supply to the femoral head is damaged and the bone dies.