A slipped capital femoral epiphysis is a separation of the ball of the hip joint from the thigh bone (femur) at the upper growing end (growth plate) of the bone.
Femoral epiphysis – slipped
Causes, incidence, and risk factors
A slipped capital femoral epiphysis may affect both hips.
An epiphysis is an area at the end of a
Slipped capital femoral epiphysis occurs in about 2 out of every 100,000 children. It is more common in:
- Growing children ages 11 to 15, especially boys
- Children who are obese
- Children who are growing rapidly
Children with hormone imbalances caused by other conditions are at particular risk for this disorder.
Difficulty walking, walking with a limp Knee pain Hip pain Hip stiffness
- Outward-turning leg
- Restricted hip movements
Signs and tests
The doctor or nurse will examine you. A hip or
Surgery to stabilize the bone with pins or screws will prevent the ball of the hip joint from slipping or moving out of place. Some surgeons may suggest using pins on the other hip at the same time, because many children will develop this problem in that hip later.
The outcome is usually good with treatment. However, in rare cases, the hip joint may wear away, despite prompt diagnosis and treatment.
This disorder is associated with a greater risk of
Calling your health care provider
If your child has persistent pain or other symptoms of this disorder, have the child lie down immediately and remain still until you get medical help.
Weight control for obese children may be helpful. Many cases are not preventable.