What is Slipped Capital Femoral Epiphysis (SCFE)?
Slipped Capital Femoral Epiphysis (SCFE), sometimes referred to as Slipped Upper Femoral Epiphysis (SUFE), is a condition that affects the hip joint in adolescents. It occurs when the ball of the femur (thigh bone) slips from its normal position due to weakness in the growth plate. Early diagnosis and treatment are crucial in preventing complications and ensuring a full recovery.
SCFE develops due to instability in the growth plate at the top of the femur. This weakness allows the femoral head to shift downward and backward, leading to pain and mobility issues. The exact cause remains uncertain, but certain risk factors have been identified:
Rapid Growth and Hormonal Changes: SCFE often occurs during periods of rapid growth, suggesting hormones may contribute to the weakening of the growth plate.
Increased Body Weight: Excess weight puts additional strain on the hip joint, increasing the risk of slippage.
Trauma or Injury: Although less common, a fall or direct injury to the hip can trigger the condition.
Hormonal Imbalances: Conditions causing hormone imbalances like hypothyroidism can have an impact on bone health and increase the risk for this condition.
Certain Medications: Medications like steroids can affect bone health and predispose to this condition.
What Causes SCFE?
SCFE typically develops gradually, but in some cases, symptoms may appear suddenly. Watch for these warning signs:
Pain in the hip, groin, thigh, or knee
Limping or difficulty walking
Stiffness and reduced hip movement
Outward turning of the affected leg
Apparent shortening of one leg
If your child experiences any of these symptoms, seek medical advice promptly to prevent further complications.
Symptoms of SCFE
A combination of clinical examination and imaging tests is used to diagnose SCFE. These may include:
X-rays: The primary tool for identifying femoral head slippage.
CT Scans or MRI: In some cases, additional imaging may be required to assess the extent of the condition.
Diagnosing SCFE
Surgical intervention is typically required to stabilise the femoral head and prevent further slipping. The procedure involves inserting a screw into the femur to secure the growth plate in place. This surgery is usually straightforward and highly effective in preventing long-term damage.
Post-Surgical Rehabilitation and Recovery
Recovery from SCFE surgery requires careful rehabilitation to restore mobility and strength. The key phases include:
Initial Recovery (First 6 Weeks): Crutches or a wheelchair are often necessary, as weight-bearing on the affected leg is restricted.
Gradual Load-Bearing (After Growth Plate Fusion): Once the surgeon confirms healing, a return to weight-bearing activities begins.
Physiotherapy Support: Physiotherapy plays a vital role in recovery, focusing on:
Restoring hip mobility
Strengthening surrounding muscles
Improving balance and stability
Developing a safe return-to-sport plan
Helping Your Child Recover with Physiotherapy
At Melbourne Physio Clinic, our experienced physiotherapists provide tailored rehabilitation programs to support your child’s recovery. From mobility exercises to sport-specific training, we help ensure a smooth transition back to normal activities.
If your child has undergone SCFE surgery or is experiencing hip pain, contact us today to discuss their rehabilitation plan and take the first step toward recovery.