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What is Slipped Capital Femoral Epiphysis?

Slipped capital femoral epiphysis (SCFE) is a hip disorder that can occur during adolescence. In SCFE, the ball at the upper end of the thigh bone (femur) slips in a backward direction through the growth plate. This condition is common during periods of growth such as puberty.

Causes of SCFE

SCFE does not have a single cause. The epiphysis is the ball at the upper end of the thigh bone. Slipping of the epiphysis is a slow and gradual process. However, it may occur suddenly in cases of trauma or falls.

Many factors can play a role in causing SCFE:

Slipped Capital Femoral Epiphysis Symptoms

Slipped capital femoral epiphysis symptoms develop over time. There are many symptoms of SCFE:

  • Hip pain

  • Knee pain

  • Pain in the inner thigh or groin area

  • Limping

  • Stiffness

  •  Difficulty putting weight on one leg

  • One leg that turns outward or appears shorter

Find a Pediatric Orthopedic Doctor

Locations & Directions

PRIMARY
CHILDREN’S HOSPITAL  

100 Mario Capecchi Dr
Salt Lake City, UT 84113

801-662-1000

LEHI (MILLER CAMPUS) 
PRIMARY
CHILDREN’S HOSPITAL  

2250 N. MIller Campus Drive
Lehi, UT 84043

385-531-1000

LAYTON PEDIATRIC ORTHOPEDICS

201 W Layton Pkwy  
Layton, UT 84041

801-546-8450

UTAH VALLEY OUTPATIENT CENTER

1157 N 300 W Ste 302
Provo, UT 85604

801-357-4470

SCFE Diagnosis

Your child’s health care provider checks your child’s hip motion, gait, and walking pattern.  An X-ray of the hip will confirm the diagnosis.

Slipped Capital Femoral Epiphysis Treatment

Surgery is the only treatment option for SCFE.  Surgery stabilizes the hip and prevents the femoral head from further slipping. Your provider will recommend one of two options depending on the severity of your child’s condition:

  1. Your child’s surgeon uses screws in the thigh bone and epiphysis (the ball at the end of the thigh bone) to hold it in place.

  2. Your child’s surgeon reduces the displacement of the femoral head and uses screws to keep it in place.

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