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Best Practice Case Studies
Slipped Capital Femoral Epiphysis
Slipped Capital Femoral Epiphysis
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Pdf Summary
Slipped capital femoral epiphysis (SCFE) is a condition affecting the hip joint, mostly seen in older children and adolescents. It involves the slippage of the growth plate in the femoral head, akin to an ice cream slipping off a cone. This slippage can occur suddenly due to a fall or sports injury, or gradually without an apparent cause. <br /><br />Key risk factors include obesity, a family history of SCFE, certain endocrine conditions (like diabetes and thyroid disease), and the use of medications such as steroids. Symptoms typically involve hip pain, often affecting the groin, outer hip, and possibly extending to the thigh and knee. Affected individuals may also develop a limp.<br /><br />Diagnosis is typically made through a combination of medical history, physical examination, and x-rays. Treatment primarily involves surgery to stabilize the slipped bone. Prior to surgical intervention, rest and avoiding weight-bearing on the affected leg is recommended. For those with increased risk factors or age considerations, the unaffected hip may also receive preventive treatment.<br /><br />Preventive measures include weight loss for individuals who are overweight. Most children can return to sports roughly six months post-surgery, though those with severe cases may face restrictions from contact sports.<br /><br />The document is provided by the American Medical Society for Sports Medicine (AMSSM), a professional body focused on education, research, and comprehensive care in sports medicine. This organization comprises a range of sports medicine physicians, including those providing non-surgical care and serving as team physicians across various levels of sport, from youth to professional leagues and Olympic teams. For more resources or to find a sports medicine physician, individuals can visit the AMSSM website.
Meta Tag
Edition
3rd Edition
Related Case
3rd Edition, CASE 45
Topic
Pediatric Issues
Keywords
3rd Edition, CASE 45
3rd Edition
Pediatric Issues
Slipped capital femoral epiphysis
hip joint
adolescents
growth plate
obesity
endocrine conditions
surgery
sports medicine
AMSSM
preventive measures
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