Overview
A slipped upper femoral epiphysis means that the growth plate at the top of the thigh bone has slipped. The cause is unknown, but it is believed to be due to biomechanical (weight) and biochemical (hormone) factors. A SUFE could leave the hip joint misshapen which could lead to long term pain and arthritis.
It is more common in boys (60%) at around 13 years old. Girls tend to experience it at around 12 years old. About half of all patients who are diagnosed with SUFE as adolescents are overweight.
Importantly there is a risk of a similar problem occurring in the other hip (Studies suggest this risk is between 18 -50 %).
A child presenting with a chronic SUFE will generally walk with a limp or out-toeing. The affected limb may be short.
What to Do
If your child has hip or knee pain or a limp an x-ray of the hips should be performed.
Two X-rays will be taken at different angles to help diagnose SUFE.
Children under 10 years of age with a SUFE will also have bloods tests performed to exclude a hormonal cause for the slip.
All children with a SUFE require surgical stabilisation. The child should not weight bear on the affected side and should be admitted for surgical treatment.
Care Advice During Recovery
Following surgery your child will usually be asked to minimise the weight put on the affected side.
If both sides have been stabilised they may require a wheel chair temporarily.
They will be offered dietary advice if this has been a causative factor.
Regular follow up is required every 6-12 months until maturity to ensure there is no further slip .