Slipped capital femoral epiphysis: Difference between revisions
(Created page with "<section begin="orthopaedics" />* = Juvenile slipped upper femoral epiphysis * Epidemiology ** Most common hip disorder in adolescents ** Males > females ** 6 – 16 years * Etiology ** Unknown cause ** GH and sex hormone imbalance may be involved ** Obesity and family history are risk factors * Pathology ** The femoral head (epiphysis) slips off the neck (metaphysis) in the line of the growth plate ** Can be acute or chronic * Clinical features ** Often bilateral ** Acu...") |
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<section begin="orthopaedics" />* = Juvenile slipped upper femoral epiphysis | <section begin="orthopaedics" />* Slipped capital femoral epiphysis = Juvenile slipped upper femoral epiphysis | ||
* Epidemiology | * Epidemiology | ||
** Most common hip disorder in adolescents | ** Most common hip disorder in adolescents | ||
Latest revision as of 11:15, 27 August 2024
- Slipped capital femoral epiphysis = Juvenile slipped upper femoral epiphysis
- Epidemiology
- Most common hip disorder in adolescents
- Males > females
- 6 – 16 years
- Etiology
- Unknown cause
- GH and sex hormone imbalance may be involved
- Obesity and family history are risk factors
- Pathology
- The femoral head (epiphysis) slips off the neck (metaphysis) in the line of the growth plate
- Can be acute or chronic
- Clinical features
- Often bilateral
- Acute type
- Sudden onset pain
- Chronic type
- Nagging groin/thigh/knee pain
- Antalgic gait
- Flexion, abduction, and internal rotation contracture
- Features of sex hormone imbalance
- Fat
- No pubic hair
- Delayed sexual development
- Diagnosis
- X-ray
- MRI
- Treatment
- Always surgical – there is no conservative treatment
- Urgent surgical internal fixation with screwing of the femoral head
- Percutaneous procedure
- Screw can be removed when child is done growing