Slipped Capital Femoral Epiphysis (SCFE)

Slipped Capital Femoral Epiphysis (SCFE) is a condition that affects the hip joint in children and adolescents, particularly during periods of rapid growth. It involves the slipping of the ball at the top of the thigh bone (femoral head) off the neck of the bone at the growth plate. This slip can cause hip pain, limping, and difficulty walking. The condition primarily affects the skeletal system, specifically the growth plate in the hip. If untreated, it can lead to permanent hip damage and arthritis. Early recognition is important to prevent long-term problems with hip function.

Slipped Capital Femoral Epiphysis (SCFE) is characterized by the displacement of the proximal femoral epiphysis relative to the femoral neck through the hypertrophic zone of the growth plate. It typically occurs during adolescence due to mechanical stress on a weakened physis, often associated with obesity, endocrine disorders, or rapid growth. The slip is usually posterior and inferior, leading to altered hip biomechanics. Clinically, patients present with hip, thigh, or knee pain and an antalgic gait. SCFE is a salter-Harris type I fracture of the proximal femoral physis and is a major cause of hip dysfunction in adolescents. Early diagnosis and stabilization are critical to prevent complications such as avascular necrosis and chondrolysis.