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Pediatric Orthopedics - Slipped Capital Femoral Epiphysis

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Slipped Capital Femoral Epiphysis (SCFE) is a condition where the femoral head ("ball" at the top of the thighbone) has slipped slightly off the thighbone. 

SCFE occurs suddenly due to an injury or trauma or it may develop over time due to an underlying problem.

Treatments

Treating SCFE is considered urgent because further slipping could damage the hip joint. To prevent further slipping, a pediatric orthopedist will likely recommend surgery within a day or two of diagnosis. 

During surgery, the surgeon puts a steel screw through the thigh bone into the femoral head. This screw holds the femoral head firmly in place.

Following surgery, the child will need to walk with crutches for 6 – 8 weeks and may be referred to a pediatric physical medicine and rehab physician to create a physical rehab treatment plan.

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