What Causes Slipped Capital Femoral Epiphysis?

Kidney Disease

Slipped capital femoral epiphysis has a poorly understood etiology; however, it represents one of the more important adolescent hip disorders due to its potential for poor outcomes without proper treatment. Identification is difficult due to its multifactorial causations. Endocrine or metabolic disorders in children are associated with an increased risk. Kidney disease, most notably renal osteodystrophy, is a primary cause of bone metabolic changes. These disorders allow abnormal hormone and blood levels of calcium and phosphorus. The proper balance of hormones and blood are imperative to bone health, as they give bone its strength. Alterations in bone mineralization increase the risk of slipped capital femoral epiphysis in adolescents by making the area weaker and more susceptible to mild trauma. Children with this medical history should be closely evaluated for any potential symptoms of SCFE.

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