In slipped capital femoral epiphysis, which movements are typically restricted?

In slipped capital femoral epiphysis (SCFE), the condition typically leads to a displacement of the femoral head due to slippage at the growth plate. As a result, the alignment and position of the femur are altered, leading to characteristic restrictions in joint movement.

The correct response highlights that abduction, flexion, and internal rotation are movements that are typically restricted in patients with SCFE. Specifically, when the femoral head slips, the normal biomechanics of the hip joint are compromised. This results in pain and limitations, particularly in these three movements:

• Abduction is affected because the displaced femoral head may no longer articulate properly with the acetabulum, limiting the ability to move the leg away from the body.

• Flexion is restricted as the altered position of the femoral head can make it uncomfortable or painful to bend the hip.

• Internal rotation is particularly restricted due to the anatomical changes and resultant pain when attempting to rotate the leg inward.

Understanding these restrictions is essential for assessing and managing SCFE, as they provide key indicators for diagnosis and guide treatment interventions.