Vague groin and thigh pain for more than 3 weeks, may progress to a limpĪcute-on-chronic: the prodromal symptoms have been present for more than 3 weeks, but there is a sudden worsening of the symptoms, including becoming unable to bear weight when previously able to Regarding the onset of symptoms, SCFE is usually classified into three groups 10:Īcute: severe hip pain and inability to bear weight, usually after a minor trauma, with prodromal symptoms such as vague groin or thigh pain for up to 3 weeks before the acute presentationĬhronic: represents the most common presentation. It's important to understand that this refers to clinical presentation, but even the patient initially able to bear weight is at risk of evolving to an acute displacement if bed rest is not established 10. A patient with a stable slip can tolerate weight bearing. Patients with an unstable slip present similarly to those with an acute femoral fracture and are unable to bear weight on the affected limb. Patients may present in different ways depending on the epiphysis stability and the duration of the onset of the symptoms. Risk factorsĬonditions that may predispose to SUFE include: Slipped upper femoral epiphysis is more common in boys than girls and more common in African Caribbean patients than Caucasian patients. The age of presentation is somewhat dependent on gender with boys presenting later (10-17 years) than girls (8-15 years) 2.
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