What Causes Slipped Capital Femoral Epiphysis?

Diabetes

Systemic endocrine disorders are considered primary causes for slipped capital femoral epiphysis in children. These endocrine disorders are considered the most common etiology of SCFE except idiopathic. This condition is recognized to be multifactorial, with several factors playing a role in its development. For this reason, current medical guidelines recommend quicker evaluation via radiographic imaging for hip, groin or knee pain in children with endocrine or metabolic disorders, such as diabetes. Around eight percent of the US population, including 187,000 children younger than twenty years old, has been diagnosed with diabetes and the rate of incidence is increasing rapidly. Not only should the above symptoms be monitored closer in adolescents with endocrine disorders, but they should also be monitored closely for a longer period. Forty percent will have slipped capital femoral epiphysis occur on the opposite side within eighteen months.

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