It occurs when the epiphysis (growth plate) of the femoral head slips off the top of the thigh bone. This triggers pain that can come on gradually or all at once. The cause of SCFE isn't clear, but it tends to occur during accelerated growth periods like puberty. Many children who experience it in one hip will also experience it in the other at some point.
SCFE usually occurs on only one side; however, in up to 40% of patients (particularly those younger than age 10) SCFE will occur on the opposite side as well.
A brief surgery is often performed to prevent further slipping by placing a screw in the femoral head. Treating a child's SCFE as soon as symptoms develop greatly increases the likelihood of a successful outcome. However, since some children with SCFE in one hip will eventually develop the condition in the other hip, patients should continue to be followed by their orthopedist until they are fully grown.
It was really comforting that there was transparency in everything. Everything was explained before it happened, not during, and you always knew what to expect.
After surgery, patients are usually allowed to walk with crutches, and only put some of their weight on the affected leg. Patients who have both hips treated may need to use a wheelchair for the first couple of weeks after surgery.
When SCFE is detected and treated early, most patients do well. They will likely receive physical therapy to strengthen the hip and leg muscles, and will have follow-up X-rays to monitor the condition. In most mild cases, further surgery is not needed.
Children with unstable SCFE do have a greater chance of developing other problems, such as stiff hips, early arthritis, leg length differences or avascular necrosis (where part of the “ball” dies from lack of blood supply). They are also more likely to require additional surgery to realign the hips as they grow.
