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Mom worried about son with SCFE

Sent to Health Experts September 02 04:30 PM

my son is 13 1/2 years old and was diagnosed with SCFE in his right hip last year. He had surgery to put a screw in his hip last November. About two weeks ago he went for a follow to the orthopedic surgeon who took a new xray and said everything looked good. He also stated that my son's growth plate in that hip was almost closed. My son is only 5' 5" in height and is going through puberty now. How will this premature closure of the right growth plate effect his growth/height? Is it expected that he will continue to grow after this right growth plate in the hip closes? I have called the surgeon four times to ask this question but he has not returned my call. I am trying to understand what impact this surgery could have on his growth since the right growth plate is almost closed. Do children who have this surgery which causes the growth plate to close grow normally or is their height stunted becasue the growth plate closes early? Please explain what is the norm.

Edited by Customer (name blocked for privacy) on September 2 2005 at 4:38 PM

Customer (name blocked for privacy)
Answer
September 2 7:55 PM (3 hours and 24 minutes and 32 seconds later)
         
REPLIEDCheck Mark
Slipped Capital Femoral Epiphysis (SCFE) is one of the most common of the major disorders of the hip in adolescence.

According to the above reference, long bones (such as the femur -- the bone connecting the knee with a hip) have a growth plate at each end of the bone. This would indicate that,, even with one closed growth plate, your son's affected leg should still continue to grow.

The references I found indicate that a closed growth plate is a normal outcome of the surgery your son underwent. However, they do not indicate whether the growth plate closure is an unintended (as opposed to unavoidable) consequence of the surgery. They also don't speak to whether (or, if so, how much) growth will be diminished, post surgery, in the affected leg.

For more specific information and advice regarding your son's growth prognosis (in the absence of additional information from his doctor) I recommend that you contact the:

American Academy of Orthopaedic Surgeons -- which serves as an advocate for improved patient care and informs the public about the science of orthopaedics.
P.O. Box 2058
Des Plaines, IL 60017
Phone: 800-824-BONE (2663) (free of charge)
www.aaos.org

Let me know if you need more input. If not, thanks for the opportunity to assist you... I would really appreciate your honoring my efforts by 'pushing the button' and Accepting this answer. Adding a bonus -- should you wish to do so -- is always warmly welcomed.

Good Luck!

Steve

Edited by Oreport on September 2 2005 at 8:26 PM



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Reply
September 2 9:30 PM (1 hour and 35 minutes and 49 seconds later)
         
Reply to Oreport's Post: From what you know about disabling conditions are you saying the article suggest that the long bone can can continue to grow from the growth plate above at the knee?
Answer
September 3 2:10 AM (4 hours and 39 minutes and 52 seconds later)
         
ACCEPTEDCheck Mark
Yes, but I don't know if the growth rate will match the growth rate of the uninjured leg.

Again, you may want to contact the American Academy of Orthopaedic Surgeons for a definitive answer on this point.

Let me know if you need more input. If not, thanks for the opportunity to assist you... If the reference provided leads to your desired information -- I would really appreciate your honoring my efforts by 'pushing the button' and Accepting this answer. Adding a bonus -- should you wish to do so -- is always warmly welcomed.

Good Luck!

Steve



Counselor /listener/collaborative problem solver. Thanks!
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