Diagnosis and Treatment Archive
Slipped Capital Femoral Epiphysis (SCFE)
 
What is Slipped Capital Femoral Epiphysis?

SCFE is a hip problem that occurs in teenagers (usually between 11 and 16 years old). The problem occurs when the body of the femur separates from the femoral head (the ball at the end of the femur). There are two types of SCFE—stable, meaning the patient can walk, and unstable, meaning even with crutches the patient cannot walk.

SCFE Overview
Click on this link for a complete overview of SCFE, including the two types—stable and unstable-- and when each is likely to occur.

 

What clinical findings (signs, symptoms, and test results) indicate SCFE?

  • Stiffness in the hip

  • Difficulty walking/Limp--antalgic gait, Trendelenburg gait in severe cases

  • Intermittent pain

  • Pain in the groin, thigh or knee

  • Leg may turn outwards

  • Affected leg may appear shorter than the other

Click here and review the link “What are the symptoms?” for more specific information on the clinical findings associated with SCFE.

Test results

 

Treatment Options

SCFE is treated surgically. Click here for more information on this option.

 

Science Links

A Patient's Guide to Hip Anatomy
Complete with diagrams, this link will help you understand how the anatomy of the hip, including various parts (bones, joints, muscles, tendons, etc) and how they work together.

Bones Muscles and Joints
This link offers an overview of bones, muscles and joints. It highlights the essential functions of each and how they work together in the musculoskeletal system. This site also has great multi-media diagrams to help you understand the function and structure of the musculoskeletal system.

Hip Anatomy Video
This video shows the normal anatomy of the hip as well as demonstrates range of motion in the hip joint. To play the video, click on the link “Hip Anatomy” in the right menu. Note: This video is presented in Java and may not be accessible from all computers. If you can’t access this video similar information is covered in other links.

Range of Motion: Hip and Shoulder
This link provides a good diagram of the range of motion in the hip and shoulder.

How you feel pain
This link describes the types of pain, how we feel pain and how pain may manifest itself.

Why do I have pain?
Written for kids, this site gives a good, but simple overview on pain and how experiencing pain can actually help our bodies.