Can adults get slipped capital femoral epiphysis?
Introduction: Slipped capital femoral epiphysis (SCFE) is a condition which predominantly occurs in adolescents. SCFE is extremely rare in adults, and nearly all previous reported cases have been associated with an endocrine disorder.
What happens if SCFE goes untreated?
Untreated SCFE may result in progressive deformity and pain, destabilization of the femoral epiphysis, and decreased range of motion of the hip joint.
What does a slipped capital femoral epiphysis feel like?
Signs and symptoms
Symptoms of SCFE typically include complaints of pain in the groin or hip that is aggravated by activity. Sometimes the child will also experience pain in the thigh or knee area. In acute or unstable slips, the child will complain of immediate pain, limp, or feel like the leg is “giving way.”
What is the most common age range for slipped capital femoral epiphysis?
Slipped capital femoral epiphysis (SCFE) is a condition typically affecting adolescents, during the period of rapid growth, from 10-15 years of age.
Does SCFE lead to hip replacement?
In some patients residual SCFE deformity is associated with advanced osteoarthritis and the only effective treatment may be a total hip replacement.
How long does it take to recover from SCFE surgery?
The majority of patients with a slipped capital femoral epiphysis will be able to return to most sports and activities at approximately 3-6 months post-operatively. Removing the hardware is not necessary unless the patient develops pain or there is a problem with the screw itself.
What is the recovery time for SCFE surgery?
Is SCFE an emergency?
Treating Slipped Capital Femoral Epiphysis
SCFE is a problem that needs urgent attention. If your child has SCFE, they will need surgery so that the ball does not slip off the bone any farther. During surgery for SCFE, the doctor will probably reposition the slip in the hip.
Is SCFE a disability?
SCFE occurs through the unfused growth plate of the proximal femur where the femoral head slips posteriorly on the femoral neck. Serious consequences of the problem, such as gait disturbance, post-traumatic arthritis, chondrolysis and osteonecrosis of the femoral head can occur, leading to lifelong disability.
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 may come and go, and may get worse with activity and better with rest. With a stable SCFE, a child still can walk, even if they need to use crutches.