Slipped Capital Femoral Epiphysis
Slipped Capital Femoral Epiphysis (SCFE) is caused by a “posterior and inferior slippage of the proximal femoral epiphysis on the metaphysis (femoral neck), which occurs through the epiphyseal plate”. This condition usually occurs in children between the ages of 8 and 15 years of age, usually occurs in boys more than girls, in children that are obese, and is more prevalent in African Americans and Pacific Islanders. The prognosis of SCFE is largely related to how quickly the condition is diagnosed and treated. If the it is not caught early, which happens often due to vague symptoms, it can lead to early-onset degenerative hip arthritis that may eventually lead to a hip reconstruction. Treatment usually includes crutches or a wheelchair and possible surgery to prevent further slippage. If the therapist suspects this condition, the child should be referred in order to get imaging to confirm the diagnosis.
Signs & Symptoms
Risk Factors
- Between the ages of 8-15
- Obesity
- African American or Pacific Islander
- Growth surges
- Endocrine disorders (hypothyroidism, growth hormone supplementation, hypogonadism, and panhypopituritarism)
Questions to ask
- When the pain first began
- Mechanism of Injury
- Location of the pain
- Type of pain
- Aggravating/Easing factors
- Past illnesses/surgeries
- Did they have a large growth spurt recently?