Acute slipped upper femoral epiphysis (nontraumatic) digital illustration

Acute slipped upper femoral epiphysis (nontraumatic) Save


ICD-10 code: M93.01

Chapter: Diseases of the musculoskeletal system and connective tissue

Acute Slipped Upper Femoral Epiphysis (Nontraumatic)

Acute slipped upper femoral epiphysis (SUFE) is a condition that occurs in children and adolescents, typically between the ages of 10 and 16. It is a type of hip disorder where the growth plate at the upper end of the thighbone (femur) slips out of place, causing pain and limping. In nontraumatic cases, SUFE can be caused by hormonal changes during puberty, obesity or genetics.

There are two types of SUFE: stable and unstable. In a stable SUFE, the femoral head remains in place, but in an unstable SUFE, there is a greater risk of the femoral head slipping further and causing more damage. Early diagnosis and treatment can prevent complications and long-term damage.

  1. Symptoms
  2. The most common symptoms of SUFE include:

    • Pain in the hip, groin, thigh, or knee
    • Limping
    • Difficulty walking or standing
    • Reduced range of motion in the hip
    • Stiffness
  3. Diagnosis
  4. A doctor will perform a physical examination and imaging tests, such as X-rays, to diagnose SUFE. If an X-ray shows that the growth plate has slipped out of place, the doctor will determine the degree of slippage and whether the SUFE is stable or unstable.

  5. Treatment
  6. The treatment for SUFE depends on the degree of slippage and the stability of the femoral head. In stable cases, the doctor may recommend rest, physical therapy, and medication to manage pain. In unstable cases, surgery may be necessary to stabilize the femoral head and prevent further damage.

    In conclusion, SUFE is a condition that can cause pain and limping in children and adolescents. Early diagnosis and treatment are crucial to prevent complications and long-term damage. If you suspect your child may have SUFE, seek medical attention promptly to ensure the best possible outcome.