A slipped capital femoral epiphysis, a fracture causing hip pain, commonly affects boys aged 11-16. Rapid identification is critical to avoid long-term damage and potential surgery.
Symptoms
This type of injury mainly impacts older children, usually aged between 12 and 15 years.
Symptoms include:
- Pain in the hip and groin, which may radiate into the knee.
- Gradual or sudden development of pain.
- Walking with a limp.
- Leg length discrepancy and slight outward rotation when examined.
- Limited ability to abduct and internally rotate the affected leg.
- X-ray confirmation shows a thickening of the epiphysis (growth plate).
What is a Slipped capital femoral epiphysis?
Sport-active boys aged 12-15, especially overweight or late-maturing athletes, often face a rare growth plate displacement. This issue mainly arises due to extra bone stress. Early detection and treatment can prevent complications like avascular necrosis, making immediate medical attention critical.
Treatment
Prompt medical attention is crucial for suspected slipped capital femoral epiphysis.
Key considerations:
- Acute or gradual onset may necessitate surgery.
- Unaddressed injuries risk femur head necrosis and permanent disability.
- X-rays are indispensable for diagnosis and severity assessment.
Surgery
Surgical treatment generally entails fixing the femur head with pins or a screw and a subsequent immobilization period. Comprehensive rehabilitation, involving gradual weight-bearing and hip-strengthening exercises, is vital for full recovery and functionality of the affected hip joint.
