What range of motion limitations would you expect in a patient with SCFE (Slipped Capital Femoral Epiphysis)?

• A. Increased hip extension
• B. Increased hip internal rotation
• C. Increased hip external rotation
• D. Limited hip flexion and abduction

Answer: (C)

In the case of Slipped Capital Femoral Epiphysis (SCFE), one would expect limitations in hip flexion and abduction. SCFE is characterized by the displacement of the femoral head, which can lead to significant changes in the mechanics of the hip joint. As the condition progresses, the affected individual often presents with a restricted range of motion, particularly in flexion and abduction due to the altered position of the femoral head in relation to the acetabulum.

Patients with SCFE typically exhibit an external rotation of the hip when the leg is in a resting position, but this does not equate to increased external rotation; rather, it indicates a limitation in normal internal and external rotation. The anatomical change caused by the slippage affects how the hip can move, resulting in the specific pattern of motion limitations. Thus, the limitations of hip flexion and abduction provide crucial insight into the functional mobility challenges faced by patients with SCFE.

The other responses do not accurately describe the typical movement impairments associated with SCFE. Therefore, the most applicable understanding of the condition aligns with the expectation of limited hip flexion and abduction.