| What is Slipped Capital Femoral Epiphysis (SCFE)? | Slipped Capital Femoral Epiphysis (SCFE) is when the head of the femur stays in the hip socket, but the neck of the femur slips or even rotates from its stable/normal position. |
| In Slipped Capital Femoral Epiphysis (SCFE), 70% of all cases, the patient is considered ________. | Obese. |
| Why is it thought that obesity is able to cause Slipped Capital Femoral Epiphysis? | Pathological changes that weaken the bone
(they are thought to weaken the area of the growth plate, and the excess weight causes shear force on the area.) |
| True or false:
Any obese adolescent with nontraumatic groin or knee pain should
be evaluated carefully for Slipped Capital Femoral Epiphysis. | True |
| What does the neck of the femur look like in STABLE Slipped Capital Femoral Epiphysis? What's the pain like? | There is continuity/almost no slippage between the femoral head and neck of the femur. The pain is typically mild; patient is often still willing to stand. |
| What does the neck of the femur look like in UNSTABLE Slipped Capital Femoral Epiphysis? What's the pain like? | The continuity between the CFE and femoral neck is disrupted; there has been significant slipping between the head and the neck of the femur.
The pain is so severe that the child is usually unable to stand or bear weight |
| Can an osteopath do anything for unstable slipped capital femoral epiphysis? | No;
for unstable, surgery is recommended.
To be fair, we can't do much for stable SCFE either, as bed rest (or surgery, sometimes) is the best treatment plan. |
| What's t he simple term for genu varum deformity? | Bow legged |
| Why do the legs appear bowed in Genu Varum Deformity? | It happens when your tibia turns inward instead of aligning with your femur. This causes your knees to turn outward |
| What is Blount's Disease? | It is characterized by abnormal growth of the medial aspect of the proximal tibial epiphysis (growth plate).
The area in question, on a healthy patient, can be seen in the image. |
| True or false:
Patients with Blount's Disease are usually healthy in weight, especially in children. | False; patients with Blount's Disease usually have marked obesity, regardless of age. |
| For people older than 4 years old, with moderate to severe symptoms, what can be done to correct the bowed leg(s) in Blount's Disease? | Surgery |
