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Slipped capital femoral epiphysis

Epiphyseolysis capitis femoris · Epifyzeolýza hlavice stehenní kosti

What it is

In adolescents, often overweight, the ball of the hip slips off the neck of the femur along the growth plate; it needs surgery to pin it.

Symptoms & signs

  • Limp
  • hip, thigh or knee pain
  • foot turned outwards
  • unable to bear weight (unstable slip)

🚩 Get help if…

  • call 112 / 911 now Teenager suddenly unable to stand on one leg after hip pain
  • see a doctor soon Teenager with a limp and hip, thigh or knee pain
  • see a doctor soon Foot turning outwards when walking
  • see a doctor soon Pain in the other hip after one has slipped

Where it strikes

Medical treatment

  • X-ray of both hips
  • urgent pinning in place
  • no weight-bearing until surgery
  • consider pinning the other hip

Natural & lifestyle

  • Weight control
  • in a teenager with knee pain, check the hip

Emerging & experimental

  • Modified Dunn procedure
  • screening for hormonal causes

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Rest and physiotherapy alone — the slip progresses not confirmed in trials
  • Chiropractic manipulation — dangerous here anecdotal / traditional
  • Weight loss — lowers the risk of the other side slipping early / small studies

ICD codes