What is slipped capital femoral epiphysis?
股本股骨骨分析（SCFE）滑倒是髋关节最常见的发育条件之一。它通常会影响青少年和青少年。在SCFE中，大腿骨上端（股骨）（股骨）的生长板（物理，负责骨骼生长的末端的区域）的弱点会导致头部或大腿骨的“球”（股骨头，骨physiphsys），从大腿骨的脖子上滑下来，就像一勺冰淇淋可以从圆锥形的顶部滑落。
SCFE实际上是生长板的断裂。裂缝通常是相当稳定的，滑移的发生非常缓慢。有时，逐渐的滑移会变得非常不稳定，并且球会完全滑落，从而导致严重的畸形甚至是“球”的血液供应问题。因此，应立即治疗带有SCFE的每个臀部，以防止不稳定的SCFE。
滑capi的症状是什么tal femoral epiphysis?
Some signs and symptoms can include:
- 臀部疼痛因活动而加剧，可能会随着休息而消退
- 腹股沟，大腿或膝盖的疼痛，除了 - 或不取代臀部疼痛
- walking with a limp, trouble walking, or feeling like the leg is "giving way"
- walking with a leg turned outward (unilateral slip)
- walking with a waddle (bilateral slip)
- inability to sit with knees straight ahead (knees tend to turn outward)
是什么原因导致资本股骨骨epip骨滑倒？
In pre-adolescent and adolescent growth and development, a child is growing quickly as adult hormones begin to circulate in his or her system. The growth plate (the area at the end of bone responsible for growth, which is not as strong as bone) gets weaker because it’s broadening. These phenomena, combined with certain anatomical factors, such as the shapes of the femur and the socket, can lead to slippage.
滑倒的股骨骨分析（SCFE）是一种罕见的疾病，男孩比女孩更有可能发生。SCFE发生在每1,000至10,000名儿童和青少年中约1至1个；12至14岁的儿童面临最大的风险。SCFE在美国东北地区比西南地区更普遍，在非裔美国人中更为普遍。
增加SCFE可能性的风险因素包括：
- obesity
- hormonal abnormalities (thyroid, etc.)
- 遗传倾向（家庭运行）
- medications, such as steroids
- radiation treatment
- 化学疗法
- bone problems related to kidney disease
SCFE is usually an emergency and must be diagnosed and treated early. In 20 to 40 percent of affected children, SCFE will be present in both hips at the time the child is diagnosed. If only one hip is affected, the other hip will eventually slip 30 to 60 percent of the time. Treatment is surgical.
How we care for SCFE
这儿童和年轻成人髋关节保存计划在波士顿，儿童医院治疗常见和复杂的髋关节疾病。作为该国第一个专注于儿童和年轻人髋关节疾病的计划，我们是SCFE和其他髋关节问题的诊断和治疗方面的专家。
Patient resources
为SCFE下载我们的患者情况说明书to learn more about this condition and how the hip specialists in Boston Children’s Child and Young Adult Hip Preservation Program provide comprehensive care throughout each patient’s treatment.
股本股骨骨plaping骨|Diagnosis & Treatments
如何被诊断出股骨epiphsy分裂？
在波士顿儿童医院，我们知道治疗孩子滑倒的股骨epiphysis（SCFE）的第一步是形成完整而准确的诊断。
我们的目标是尽早诊断SCFE，以防止大腿骨头进一步滑动，从而防止髋关节畸形。如果您的孩子接受了SCFE的诊断，他或她必须避免在治疗后施加体重，并可以指示使用拐杖或轮椅，直到接受治疗后。
Your child’s doctor will conduct a physical exam, during which he or she can often feel the ball popping in and out of the socket. The doctor will also take a family history (including any hip problems in your family) and may use diagnostic tests to get detailed images of your child’s hip joint.
In addition to a complete medical history and physical examination, diagnostic procedures for SCFE may include:
- X-ray: a diagnostic test that uses invisible electromagnetic energy beams to produce images of internal tissues, bones and organs onto film. To diagnose SCFE, front and side views are usually needed, as well as views of the opposite knee.
- MRI(magnetic resonance imaging)
- 骨扫描，血液检查（很少需要）
How is slipped capital femoral epiphysis treated?
治疗的目的是防止股骨头进一步滑倒，以避免并发症并消除髋关节撞击，这可能在以后的生活中引起关节炎。
SCFE的护理标准是有限的开放手术，该手术使用steel screws and pins (internal fixation) to hold the femoral head onto the femur to stabilize it and prevent from slipping further. Some children need more complex surgery to realign the femur or reshape the bone.
如果患有轻度SCFE病例的孩子仍然相对免疼痛，则父母可能会被诱使未经治疗的孩子的诊断状况。但是，不加治疗，SCFE几乎总是随着时间的流逝而恶化 - 球可能会完全滑落。即使孩子在没有严重的疼痛或明显的lim弱的情况下成长为青春期，不可避免的是，未经治疗的臀部会磨损并在成年后成为关节炎。
对股本股骨骨分裂的儿童的长期前景
波士顿儿童的SCFE治疗的成功率很高。一旦症状出现，请尽快治疗您的孩子的臀部，大大增加了成功结果的可能性。Most children treated for SCFE at Boston Children’s have treatments that enable them walk, play, grow and live active lives.
但是，一个臀部的SCFE儿童中有很大一部分将最终在另一个髋关节中发展出病情。至少在骨骼生长完成之前，您的孩子应继续是骨科医生。您的医生还将监测孩子修复的臀部，因为它需要在整个生长期间正常生长才能持续一生。
为SCFE下载我们的患者情况说明书to learn more about this condition and how the hip specialists in Boston Children’s Child and Young Adult Hip Preservation Program provide comprehensive care throughout each patient’s treatment.