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Is Surgery The Right Option For Slipped Capital Femoral Epiphysis In Children?

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Posted on Mon, 13 Apr 2015
Question: Is surgery absolutely necessary for Scfe in a 11 year old boy that only weighs 110 pounds.
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Answered by Dr. Dr. Praveen Tayal (9 minutes later)
Brief Answer:
Surgery is the best treatment.

Detailed Answer:
Hello,
Thanks for posting your query.
Slipped capital femoral epiphysis (SCFE) is a disorder of the adolescent hip. The ball at the upper end of the femur (thigh bone) slips off in a backward direction. This is due to weakness of the growth plate.
If the head is allowed to slip farther, hip motion could be limited. Premature osteoarthritis could develop. Treatment should be immediate.
A screw is inserted to prevent any further slip of the femoral head through the growth plate. Fixing the femoral head with pins or screws has been the treatment of choice for decades. Your son needs an immediate surgery.
I hope this answers your query.
In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out.
Wishing you good health.
Regards.
Dr. Praveen Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Dr. Praveen Tayal (8 minutes later)
How long is it before they are back to normal? And would he be able to play basketball at a competitive level like he did before?
doctor
Answered by Dr. Dr. Praveen Tayal (6 hours later)
Brief Answer:
3-4 weeks.

Detailed Answer:
Hello.
Thanks for writing again.
It takes 3-4 weeks for proper recovery. He would be able to play basketball again. Please do not worry.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Praveen Tayal

Orthopaedic Surgeon

Practicing since :1994

Answered : 12314 Questions

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Is Surgery The Right Option For Slipped Capital Femoral Epiphysis In Children?

Brief Answer: Surgery is the best treatment. Detailed Answer: Hello, Thanks for posting your query. Slipped capital femoral epiphysis (SCFE) is a disorder of the adolescent hip. The ball at the upper end of the femur (thigh bone) slips off in a backward direction. This is due to weakness of the growth plate. If the head is allowed to slip farther, hip motion could be limited. Premature osteoarthritis could develop. Treatment should be immediate. A screw is inserted to prevent any further slip of the femoral head through the growth plate. Fixing the femoral head with pins or screws has been the treatment of choice for decades. Your son needs an immediate surgery. I hope this answers your query. In case you have additional questions or doubts, you can forward them to me, and I shall be glad to help you out. Wishing you good health. Regards. Dr. Praveen Tayal. For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal