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Slipped capital femoral epiphysis
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Slipped capital femoral epiphysis, is a common hip disorder in adolescence, in which the growth plate fractures.
Normally, a growing femur has 4 main parts.
Above the femoral neck, lies the cartilaginous growth plate also called the physis.
The cartilaginous growth plate has cells which divide and enable the bone to grow in length.
These cells are very active in adolescence and they enable a growth spurt.
During this period, the growth plate is relatively weak and vulnerable to shearing forces.
The perichondrial ring helps resist shearing forces so that the femoral head and the femoral neck don’t slip away from one another.
Slipped capital femoral epiphysis (SCFE) is a medical condition in which there is slippage between the neck of the femur and the overlying head of the femur, and it mainly affects children and adolescents. Symptoms include pain, stiffness, and difficulty walking or bearing weight on the affected hip. Treatment includes immobilization of the hip in a cast or brace, followed by surgery to stabilize the femoral head and prevent further displacement. Chronic hip pain, limited mobility, and early osteoarthritis are common complications of SCFE.
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