Child Hip Slipped

SUFE or Slipped Upper Femoral Epiphysis is a childhood condition where there is a fracture through the growth plate of the femoral head. This occurs in early adolescence and usually presents with pain in the groin and occasionally on the front of the knee.

SUFE

Figure 2: X-Ray showing a left sided SUFE

If this condition is detected early, before there is a significant slip, it can be pinned using a screw. While there is a small risk of post-operative complications such as infection and avascular necrosis, most patients will do well without the need for future surgery. If the slip is severe or detected late, it can heal in an abnormal position. Unlike other childhood conditions such as Perthes disease, there is no time for the socket to remodel, so there is a miss-match between the socket and the head.

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Figure 3: X-Ray showing gross degeneration in a young patient with previous SUFE

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Figure 4: Post-operative x-ray following reconstruction

This miss-match can lead to significant degeneration, even in early adulthood. Even significant deformities may be treatable with conservative types of surgery such as open hip debridement or hip arthroscopy where the head is reshaped, but once the degeneration progresses and there is a loss of joint space, then the only remaining option is a joint replacement.

As in other conditions, this can be demanding surgery. The hip can be quite scarred and the abnormal anatomy not amenable to standard implants. However, with meticulous technique, restoration of anatomy can be achieved with excellent functional result.

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Contact Details

Fracture Image 1a

Spire Manchester Hospital,
Russell Road, Whalley Range,
Manchester. M16 8AJ
Tel: 0773 979 1305
info@manchesterhipclinic.com