Slipped capital femoral epiphysis (SCFE)

Overview

Knee pain can be the only symptom.

The top of the thigh bone slips at the growth plate, often during a growth spurt.

Knee pain can be the only sign, so teens with knee pain and a limp need hip X-rays.

Symptoms

Common signs:

• Hip or knee pain with a limp
• Hip pain
• Child limping or refusing to walk

Less common

• Leg turned out

When to get medical care

Causes

Growth plate slip.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• Overweight teens

Diagnosis

A clinician asks about your symptoms and may order tests.

The exam

A physical exam.

Tests

Tests, if needed:

• X-ray:

Treatment

Treatment depends on the cause and how severe it is.

Self-care

• Stop walking on it; use crutches

Prevention

To lower your risk or prevent problems:

• Healthy weight

Which doctor treats this

• Start with your child's pediatrician.
• They may send you to a pediatric specialist: an orthopedist (bone and joint doctor).

Children, pregnancy, and older adults

• Teens 10 to 16, especially boys: Most common.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

For caregivers

• Learn the warning signs and when to call the doctor or 911.
• Keep a list of your child's medicines, doses, and doctors on your phone.
• Tell teachers, coaches, and sitters what to watch for and what to do.
• Take breaks and ask for help. Caregivers need care too.

Outlook

Surgery prevents further slipping.

Getting ready for your visit

Bring a list of your symptoms and medicines.

What to bring

• A list of your medicines and supplements
• Notes on when symptoms started and what makes them better or worse

Questions to ask

• What's causing this?
• What treatment do you recommend?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Slipped capital femoral epiphysis (SCFE)