University:
Northwest College
Course:
VN420 | Child Health
Academic year:

2024
Views:

149

Pages:

2
Author:

Yesenia M.

SLIPPED CAPITAL FEMORAL EPIPHYSIS – PEDS Condition in which the femoral head dislocates from the neck and shaft of the femur at the level of the epiphyseal plate Epiphysis slips down and back L hip is most often affected Cause is unknown but during teenage growth spurt the femoral growth plate becomes weak and less resistant to stress Hormone can also have a role in d/o Can be acute or chronic Chronic SCFE can lead to leg shortening and thigh atrophy ** Therapeutic management: Refer to ortho sx – early sx intervention will lower r/o LT deformity Goal: prevent further slipping , minimize deformity, and avoid complications of cartilage necrosis and avascular necrosis of the femoral head. Sx can include in situ pinning- pin or screw placed percutaneously into the femoral head to hold it in place Osteomy for severe cases Complications: osteoarthritis Assessment: Ask about onset and extent of pain Acute SCFE: pain is sudden and pt unable to bear weight on leg Chronic SCFE: insidious onset of pain and a limp Risk factors: obesity , age 9-16, African americans or Polynesians, sedentary life, rapid growth spurt, males Trendelenburg gait Pain in hip or referred pain to groin , medial thigh or knee Decreased ROM XRAY will confirm dx Bone scan can rule out avascular necrosis CT defines extent of slippage Management: Bed rest w activity restriction Traction before sx If surgery done- pre and post care ; assess for pain, give pain meds if needed After in situ pinning- crutch use and teaching WB resumed to leg after a week of sx