Slipped Capital Femoral Epiphysis (SCFE)

Question 1

What is SCFE?

Answer 1

SCFE is Slipped Capital Femoral Epiphysis, a condition where the femoral head epiphysis slips inferiorly in relation to the femoral neck

Question 2

What is another name for SCFE?

Answer 2

It is also known as Slipped Upper Femoral Epiphysis (SUFE).

Question 3

What is the main cause of SCFE?

Answer 3

CFE is thought to be caused by micro-trauma to the physis

Question 4

Name some factors that increase the risk of SCFE.

Answer 4

• Age 8-18, pubertal growth
• Overweight
• African-Americans
• Endocrine/metabolic conditions (e.g., hyperthyroidism, renal disease)

Question 5

What are the common symptoms of SCFE?

Answer 5

Symptoms include hip pain, groin pain, thigh pain, knee pain, and an antalgic gait (limp).

Question 6

What can be observed during examination of a patient with SCFE?

Answer 6

Examination reveals a shorter lower limb when externally rotated, loss of internal rotation, and deep flexion. There is also pain at extreme ranges of movement.

Question 7

What is the main form of investigation for SCFE?

Answer 7

The main form of investigation is an x-ray with AP and lateral views.

Question 8

What is the recommended treatment for SCFE?

Answer 8

Urgent surgery is required to pin the femoral head to prevent further slippage. The degree of slip affects the prognosis, with some cases requiring hip replacement.