Family & Parenting

What causes Sufe?

By: Geoff SweetUpdated: March 19, 2021

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With a SUFE, this growth plate suffers a form of fracture, and the head of the femur slips out of position. A child with a SUFE may feel like they have a pulled muscle in their hip, thigh or knee. The exact cause of this condition is not known, but there may be a link between increased weight and puberty hormones.

Also know, 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.

Beside above, what is a slipped femoral epiphysis?

Slipped capital femoral epiphysis (SCFE) is a hip condition that occurs in teens and pre-teens who are still growing. For reasons that are not well understood, the ball at the head of the femur (thighbone) slips off the neck of the bone in a backwards direction.

How rare is Scfe?

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children.

How common is Sufe?

SUFE is relatively common and occurs between 0.2 and 10 per 100,000 population. It is more common in boys (60%) than girls with the mean age at diagnosis being 13.5 years in boys and 12 years in girls. Approximately 50% of adolescents with SUFE are above the 95th percentile for weight.

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How common is Scfe?

Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children.

How is Scfe treated?

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.

What is the best view to diagnose Scfe?

Standard radiography is the first-choice imaging modality in patients with suspected SCFE. Usually, anteroposterior (AP) pelvis and frog-lateral views of both hips are obtained (Fig. 1). Radiographs of the contralateral side should always be included to rule out the bilateral involvement of SCFE.

What is Skiffy in the hip?

Slipped capital femoral epiphysis (SCFE; pronounced “skiffy”) is when the top of the thighbone slips out of place. To understand SCFE, it helps to know a little about what the hip joint looks like. The top part of the thighbone is shaped like a ball (femoral head). It fits into the hip socket.

What is Sufe in medical?

Slipped upper femoral epiphysis (SUFE) A slipped upper femoral epiphysis (SUFE) is a condition involving the hip joint.

How long does it take to recover from Scfe surgery?

After surgery to fix a SCFE, the child will need to walk with crutches for 6 to 8 weeks. The child may be referred to a physical therapist for treatment during recovery. Follow-up is vital every 3 to 4 months for the next several years to recheck the treated hip.

How do you measure a Southwick angle?

Southwick, a famous surgeon. The angle is measured on a frog lateral view of the bilateral hips. It is measured by drawing a line perpendicular to a line connecting two points at the posterior and anterior tips of the epiphysis at the physis. A third line is drawn down the axis of femur.

How painful is Scfe?

Symptoms of SCFE vary, depending upon the severity of the condition. A patient with mild or stable SCFE will usually have intermittent pain in the groin, hip, knee and/or thigh for several weeks or months. This pain usually worsens with activity. The patient may walk or run with a limp after a period of activity.

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.

Can adults get slipped capital femoral epiphysis?

Slipped capital femoral epiphysis usually occurs in children going through a pubertal growth spurt, possibly because the immature proximal femoral physis is unable to bear the shear stress. Slipped capital femoral epiphysis in adults is uncommon, with only 10 cases reported in the literature.

What is epiphyseal slippage?

A slipped upper femoral epiphysis (SUFE) is a condition involving the hip joint. The very top of the femur (thigh bone) forms the ball (also called femoral head), and beneath this ball lies a growth plate (an area of growing tissue that allows the bones to lengthen, also called the epiphyseal plate).

What is Perthes?

Legg-Calve-Perthes disease, also known as Perthes disease, is a disorder of the hip in young children that usually occurs between the ages of 4 and 10. The hip is made up of the femoral head — the “ball,” which is the upper part of the femur — and the acetabulum — the “cup” that fits around the femoral head.

Which pain characteristic is associated with an unstable slipped capital femoral epiphysis?

Typically, a child with a stable slipped capital femoral epiphysis has a history of intermittent limp and pain of several weeks' or months' duration that is often poorly localized to the thigh, the groin or the knee. Hip pain is reported less frequently.