Slipped Upper Femoral Epiphysis (SUFE)

 

Age Group: Most commonly affects boys aged 11-15 years.

Symptoms:

1. Pain localized to the knee, thigh, hip, or groin

2. Limping and difficulty walking

3. Leg length discrepancy (affected leg appears shorter)

4. External rotation of the hip

5. Limited hip abduction and internal rotation

Risk Factors:

i. Obesity

ii. Rapid growth periods

iii. Endocrine disorders (e.g., hypothyroidism)

Diagnosis:

. X-rays: Anteroposterior (AP) and frog-leg lateral views showing displacement of the femoral head

Management:

. Immediate Care: Non-weight bearing on the affected leg

. Surgical Intervention: In situ fixation with a single screw

. Postoperative Care: Physical therapy to restore range of motion and strength