Slipped Femoral Capital Epiphysis

  1. General information
    1. Spontaneous displacement of proximal femoral epiphysis in a posterior and inferior direction
    2. Onset insidious; usually occurs during fast growth period of adolescence (growth hormones weaken epiphyseal plate)
    3. Occurs most often in very tall and very obese adolescents; boys affected more frequently
  2. Medical management
    1. Skeletal traction
    2. Surgical stabilization with pinning
  3. Assessment findings
    1. Limp and referred pain to groin, hip, or knee
    2. Limited internal rotation and abduction of hip
  4. Nursing interventions
    1. Suggest weight reduction program for obese children to decrease stress on bones.
    2. Provide care for the child with a cast or traction.

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