Slipped Capital Femoral Epiphysis Health and Social Care Essay
Introduction. Slipped femoral epiphysis SCFE is the most common hip disease in adolescence. cases can lead to complete collapse of the femoral head, and SCFE is the most common reason for hip replacement surgery in both adolescence and early adulthood. recognition of SCFE is important because the summary. Slipped femoral epiphysis SCFE is the most common hip disorder in adolescents. 8 SCFE usually occurs by age eight 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. H gglund et al. 27 reported a high rate of osteoarthritis 64, after years of follow-up of a femoral neck osteotomy. Jerre et al 28 evaluated the outcome of patients with moderate and severe slips treated with realignment procedures in a mean follow-up year. Very poor results were found, hips 59, had been treated with THR, hip. The main elements of the differential diagnosis in children are coxitis fugax and idiopathic femoral head necrosis Perthes disease. In children and older, and in adolescents, SCFE with a slipped femoral epiphysis is typical. Bone tumors and rheumatic diseases should always also be taken into account. Slipped femoral epiphysis SCFE is a hip condition in adolescents that can potentially lead to long-term deterioration of the hip joint. Unstable slips are usually diagnosed relatively quickly due to the child's inability to walk, but in stable slips the diagnosis may be delayed due to vague symptoms and referred pain. By Dr. Liji Thomas, MD Reviewed by Dr. Catherine Shaffer, Ph.D. Slipped capital femoral epiphysis or SCFE is the most common hip disease in adolescents. It is associated with obesity and has a higher risk of obesity. A hip condition common in adolescents in which the head of the femur slips downward and backward from the neck of the femur, often due to mechanical overload. Etiology. Pathogenesis. unstable growth plate, femoral physis of. mechanical overload that causes excessive shearing force on the growth plate. Slipped femoral epiphysis of the head. SCFE is the most common hip disorder in adolescents. 8 SCFE usually occurs at that age and is one of the most commonly missed diagnoses in children. The left hip is affected more often than the right, it is bilateral. Slipped femoral epiphysis of the head and its association with endocrine, metabolic and chronic diseases: a systematic review of the literature. Journal of Pediatric Orthopedics. 7 3 213-23. doi: 10.1007 s11832-013-0493-8.