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Slipped Capital Femoral Epiphysis in Children: Care Instructions

Overview

A slipped capital femoral epiphysis is a hip problem. The ball-shaped upper end of the thighbone (femur) slips at the area where the bone is growing. When this happens, the femur does not fit snugly in the hip socket.

This happens most often in teens during a growth spurt. This is a rapid increase in height. Rapid weight gain or an injury also can cause it. Your child may have hip or knee pain or may walk with a limp.

Your child will need surgery. The doctor will put a screw in the bone. This holds the bone in place and lets it heal. If not fixed, this problem can lead to early arthritis of the hip or worse problems.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and contact your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Be safe with medicines. Read and follow all instructions on the label.
    • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
    • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
    • Store your child’s prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely.
  • Follow your doctor's directions for activity.
  • Have your child use crutches as your doctor directs.

When should you call for help?

Watch closely for changes in your child's health, and be sure to contact your doctor if:

  • Your child's pain gets worse.
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