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Slipped Capital Femoral Epiphysis (SCFE) at DRHC Dubai Pediatric Orthopedic Clinic

Slipped Capital Femoral Epiphysis (SCFE) is a common orthopedic condition that affects adolescents, especially during growth spurts. It occurs when the head (epiphysis) of the femur slips backward and downward at the growth plate, causing the hip joint to become misaligned. Early detection and treatment are crucial to prevent complications such as arthritis, hip deformity, and restricted mobility.

At DRHC Dubai, our experienced orthopedic team provides comprehensive care for SCFE, from accurate diagnosis to advanced surgical management and rehabilitation.

What Causes SCFE?

The exact cause of SCFE is not always clear, but several risk factors are associated with the condition:

  • Rapid Growth Spurts: SCFE often occurs during puberty when bones are growing rapidly.
  • Obesity: Excess weight increases pressure on the hip joint, making the growth plate more susceptible to slipping.
  • Hormonal Imbalances: Conditions such as hypothyroidism, growth hormone disorders, or low testosterone can weaken the growth plate.
  • Family History: SCFE may run in families, increasing the risk if a close relative has experienced it.
  • Trauma or Injury: Sudden trauma, such as a fall, can trigger acute SCFE, especially in unstable cases.
  • Other Medical Conditions: Kidney disease, Down syndrome, or radiation therapy can increase the risk.

Types of SCFE

SCFE can vary in presentation based on how severe the slip is and how quickly it develops:

  1. Stable SCFE: The patient can still walk, even if with pain or a limp. This type progresses slowly over weeks to months.
  2. Unstable SCFE: The slip occurs suddenly, often after trauma, and the patient is unable to bear weight on the affected leg. This type requires urgent surgical intervention to prevent further damage to the hip joint.

Symptom of Slipped Capital Femoral Epiphysis (SCFE)

  • Hip, Thigh, or Groin Pain: Persistent or radiating pain that worsens with physical activity.
  • Knee Pain: In some cases, the patient experiences referred pain in the knee instead of the hip.
  • Limping or Altered Gait: The patient may develop a limp or walk with the foot turned outward.
  • Stiffness in the Hip: Difficulty moving the leg inward or rotating it properly.
  • Leg Length Discrepancy: The affected leg may appear slightly shorter.
  • Inability to Bear Weight (Unstable SCFE): In severe cases, the patient cannot stand or walk on the affected leg.

How is SCFE Diagnosed?

Early diagnosis is key to preventing long-term joint damage. At DRHC Dubai, our orthopedic specialists perform a thorough clinical examination and may use the following diagnostic tools:

  • X-Rays: To assess the position of the femoral head and detect any slippage.
  • MRI or CT Scan: Used in cases where the diagnosis is unclear or to evaluate the extent of the slippage.
  • Blood Tests: If hormonal or endocrine issues are suspected, blood tests may be recommended.

Surgical Management of SCFE at DRHC Dubai

Surgery is the standard treatment for SCFE to stabilize the femoral head, prevent further slippage, and maintain hip function. The approach depends on the severity and stability of the condition.

1. In-Situ Pinning (Fixation)

This is the most common and effective procedure for stable SCFE cases.

  • Procedure: A single screw or pin is inserted through the femoral neck to hold the femoral head in place.
  • Outcome: The surgery prevents further slipping and promotes normal bone growth.
  • Recovery: Patients can begin walking with crutches within a few days, with a gradual return to normal activities.

2. Open Reduction with Internal Fixation

This technique is used for severe or unstable SCFE cases.

  • Procedure: The surgeon repositions the slipped femoral head before securing it with screws or pins.
  • Outcome: Proper alignment of the joint reduces the risk of complications such as early arthritis.
  • Recovery: A longer recovery period is needed, and physiotherapy is essential to restore strength and mobility.

3. Prophylactic Pinning of the Contralateral Hip

In some adolescents, there is a risk that SCFE will develop in the other hip.

  • Procedure: The unaffected hip is stabilized with a screw to prevent future slippage.
  • Benefit: This preventive approach avoids complications and ensures long-term hip health.

Post-Surgical Care and Rehabilitation

Our dedicated rehabilitation team at DRHC Dubai works closely with patients to ensure a smooth recovery after SCFE surgery.

  • Pain Management: Medications are prescribed to manage post-operative pain and discomfort.
  • Crutches or Walker: Patients may need assistive devices initially to avoid putting weight on the affected leg.
  • Physiotherapy: A customized physiotherapy plan helps improve joint mobility, muscle strength, and overall hip function.
  • Monitoring and Follow-Up: Regular check-ups and imaging are conducted to monitor healing and detect any potential complications early.
  • Activity Restrictions: Patients are advised to avoid strenuous activities and sports until the hip is fully healed.

Complication of Untreated SCFE

If left untreated, SCFE can lead to serious complications, including:

  • Avascular Necrosis: Loss of blood supply to the femoral head, resulting in bone death.
  • Hip Deformity: Misalignment of the joint can cause permanent hip deformities.
  • Early-Onset Arthritis: Untreated SCFE increases the risk of developing arthritis at an early age.
  • Chronic Pain and Limited Mobility: Long-term joint damage can cause ongoing pain and restrict movement.

Why Choose DRHC Dubai for SCFE Treatments?

At DRHC Dubai, we combine advanced technology, skilled orthopedic surgeons, and personalized care to provide the best outcomes for SCFE patients. Our approach includes:

  • Accurate Diagnosis: Advanced imaging techniques ensure early detection and precise treatment planning.
  • Minimally Invasive Surgery: Whenever possible, we use minimally invasive techniques to reduce recovery time.
  • Comprehensive Rehabilitation: Our physiotherapy team supports each patient’s recovery journey with tailored exercises and guidance.
  • Family-Centered Care: We provide emotional support and clear communication to help families understand the condition and treatment process.

Book An Appoinment

If your child is diagnosed with Slipped Capital Femoral Epiphysis (SCFE), trust our expertise at DRHC Dubai Pediatric Orthopedic Clinic. Contact us today at +97142798200 to schedule a consultation and begin the journey towards corrective treatment.

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