4/7/2023 0 Comments Slipped disc xrayA person with a SCFE may prefer to hold their hip in flexion and external rotation. Often the range of motion in the hip is restricted in internal rotation, abduction, and flexion. Signs of a SCFE include a waddling gait, decreased range of motion. About 20 percent of all cases include a SCFE on both sides at the time of presentation. In cases of bilateral SCFEs, they typically occur within one year of each other. The pain may occur on both sides of the body (bilaterally), as up to 40 percent of cases involve slippage on both sides. Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain. Hip motion will be limited, particularly internal rotation. Symptoms include the gradual, progressive onset of thigh or knee pain with a painful limp. Whilst it can occur in any child, the major risk factor is childhood obesity. SCFEs occurs slightly more commonly in adolescent males, especially young black males, although it also affects females. One in five cases involves both hips, resulting in pain on both sides of the body. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain. SCFE is the most common hip disorder in adolescence. It is actually the metaphysis (neck part of a bone) which slips in an anterior direction with external rotation. The term slipped capital femoral epiphysis is actually a misnomer, because the epiphysis (end part of a bone) remains in its normal anatomical position in the acetabulum (hip socket) due to the ligamentum teres femoris. Abnormal movement along the growth plate results in the slip. Normally, the head of the femur, called the capital, should sit squarely on the femoral neck. Slipped capital femoral epiphysis ( SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur ( metaphysis). Groin pain, referred knee and thigh pain, waddling gait, restricted range of motion of leg X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. Slipped upper femoral epiphysis, coxa vara adolescentium, SCFE, SUFE Medical condition Slipped capital femoral epiphysis
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