How is return-to-play determined following the treatment of slipped capital femoral epiphysis (SCFE)?

Updated: Dec 03, 2018
  • Author: Kevin D Walter, MD, FAAP; Chief Editor: Craig C Young, MD  more...
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Answer

Following fixation of slipped capital femoral epiphysis (SCFE), the patient is given crutches with protected weight bearing for 6-8 weeks. Physical therapy for strengthening, proprioception, balance, and endurance training may be helpful. Most children can then return to full activity once they are pain free with full strength. However, some literature advocates for not allowing a return to contact sports until the physis has closed.

Radiographic follow-up is often continued until physeal closure is achieved to ensure the slippage has not progressed and to ensure there is no contralateral hip involvement. Loss of fixation of the slip can occur but is rare.


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