Video Explanation: SCFE (Slipped Capital Femoral Epiphysis) – What Parents Need to Know

Slipped Capital Femoral Epiphysis (SCFE) is a serious condition affecting adolescents, where the femoral head "slips" in a posteroinferior direction relative to the femoral neck, through the growth cartilage. **Who it affects:** Adolescents during the pubertal growth spurt, typically between 10 and 16 years. It's more frequent in males and in those overweight or obese. It can be bilateral in 20-40% of cases (often at different times). **Why it happens:** The hip growth cartilage (physis) is particularly vulnerable during puberty, when mechanical forces increase but the cartilage hasn't yet matured. Excess weight and hormonal imbalances are predisposing factors. **⚠️ MEDICAL URGENCY:** SCFE is one of the true pediatric orthopaedic emergencies. If not treated promptly, it can lead to femoral head necrosis (osteonecrosis) with permanent consequences. Diagnostic delay significantly worsens the prognosis. **Clinical forms:** - **Stable:** The teenager can walk (with or without crutches). This is the most common form. - **Unstable:** The teenager cannot walk. This is a true emergency requiring immediate intervention. **Treatment:** ALWAYS surgical. The intervention consists of fixing the femoral head with one or more screws to prevent further slipping. The earlier the intervention, the better the prognosis.