24-Hour Crisis Hotline: (877)SAFEGBC or (877)723-3422 Mental Health & Substance Abuse Issues

6502 Nursery Drive, Suite 100
Victoria, TX 77904

Child & Adolescent Development: Overview
Basic InformationMore InformationLatest News
Kids of Opioid-Using Parents May Be More Likely to Attempt SuicideCholesterol Levels Improving Among U.S. KidsEarlier Bedtimes Help Kids Fight Obesity1 in 5 Kids Don't Strap on Helmets Before BikingParents, Here's How to Protect Your Child During Measles OutbreaksMore Than 600,000 Opioid Abusers Raising Kids in U.S.2 of 3 Parents Read Texts While DrivingFear of Dentist May Start Early for Minority Kids -- With Good ReasonMilitary Tourniquets Might Save Kids' Lives During School ShootingsE-Cigarettes Used in 5% of U.S. Homes With KidsMany Kids With Chronic Illness Are Still Happy: StudyDiet Sodas May Not Help Kids Cut CaloriesAsthma Inhalers Incorrectly Used by Most Kids in StudyNewer Diabetes Drug Shows Promise in Kids, TeensBenlysta Approved for Children With LupusParents, Protect Your Kids as Measles Outbreaks SpreadHow Much Does Your Kid Weigh? Chances Are, You're UnderestimatingFor Kids, Obesity and Mental Health Woes Often Go Hand-in-HandWhy Kids Should Play More Than One SportBetter Food Assistance Programs Might Lower Childhood Obesity RatesMany U.S. Kids Don't Drink Enough Water, and Obesity May Be the ResultStrict Blood Pressure Limits for Kids Tied to Heart Health LaterAlmost Half of Young Asthma Patients Misuse InhalersCan Games and Apps Help Your Kids Learn?Kids Can Get UTIs, TooInactive Lifestyle Begins as Early as Age 7: StudyWhy the HPV Vaccine Is More Important Than EverMore Time Spent in Sports, Faster Healing From ConcussionHow to Cut Your Kids' Sugar IntakeLiving Near Major Roads Can Slow Kids' Development: StudySuicidal Behavior Nearly Doubles Among U.S. KidsTeaching Kids the Importance of an ApologyAHA News: Kids With High Blood Pressure Need Smooth Transition to Adult CarePot During Pregnancy May Raise Child's Psychosis RiskMost Parents Want Age Limits on Football TacklingKids Who Specialize in One Sport Too Early Are Likely to Get Hurt: StudyHealth Tip: Responsibilities of Non-VaccinationThe 1-Parent Family and Kids' Health RisksPesticides Tied to Autism Risk in KidsStrengthening Family Ties Through Online GamingReworked Nasal Flu Vaccine Looks Good for Kids, Pediatricians' Group SaysMore U.S. Teens, Kids Seeking Mental Health Care in ERsAHA News: Overweight Kids at Higher Risk for Blood Clots as AdultsHow to Protect Your Kids From DrowningFewer Boys Are Suffering Head Injuries, But Rate Rises for GirlsWhen Can Kids Return to Play After a Concussion?One-Third of U.S. Kids Have Back Pain, Study SaysMany Parents Think Vaping Around Kids Is FineTime Change Tougher for Kids With Mental Health IssuesLargest Study Ever Finds No Link Between Measles Vaccine, Autism
Questions and AnswersLinks
Related Topics

ADHD: Attention Deficit Hyperactivity Disorder
Childhood Mental Disorders and Illnesses
Child Development & Parenting: Infants (0-2)
Child Development & Parenting: Early (3-7)

Disabling Hip Ailment Is Another Health Risk for Obese Kids

HealthDay News
by By Serena Gordon
HealthDay Reporter
Updated: Oct 22nd 2018

new article illustration

MONDAY, Oct. 22, 2018 (HealthDay News) -- Childhood obesity has been linked to a higher risk of type 2 diabetes and early heart disease, but new research now ties it to a sometimes crippling hip condition.

It's called slipped capital femoral epiphysis (SCFE), and it causes the hip to become deformed, occasionally so much so that the hip collapses. SCFE causes pain and may result in lifelong disability, British researchers said.

"Children with severe obesity at 5 years old had almost 20 times the risk of developing the severe hip deformity than a thin child," said study author Dr. Daniel Perry, a senior clinical lecturer in orthopedic surgery at the University of Liverpool.

The heavier a child was, the greater the risk of the hip condition, Perry said.

SCFE happens when the epiphysis -- the head of the thighbone -- slips from the bone at the growth plate, according to the American Academy of Orthopaedic Surgeons. Growth plates are weaker areas of bone that aren't fully developed yet.

So how does excess weight cause this problem?

"The belief is that this is a mechanical failure," Perry said. "Quite simply, the support structures around the growth plate in the hip can't withstand the weight of the child. The growth plate therefore slips out of place -- sometimes this is a sudden process, or sometimes this occurs very gradually."

Dr. Matthew Hepinstall, associate director of the Center for Joint Preservation and Reconstruction at Lenox Hill Hospital in New York City, said SCFE is most common in preteens and young teens.

"It seems to happen most often during growth spurts, when growth plates are wider, and therefore weaker. If not diagnosed early and stabilized with surgery, the parts of the thighbone on either side of the growth plate shift," he explained.

Hepinstall added that while this injury may heal, the bone develops with an abnormal shape that may cause hip problems into adulthood.

He said the problem is more common in heavier children because "weight places more stress on the growth plate."

Perry said the condition should always be treated surgically to stabilize the hip. If the problem is diagnosed early, surgery is minor.

If it isn't diagnosed until the hip is severely displaced, "then the child may have to undergo high-risk surgery to reconstruct the hip. Despite [our] best efforts, the hip bone often dies as the blood supply that feeds the hip gets injured, either by the disease or by the reconstructive surgery," he said.

When the hipbone dies, a hip replacement may be the only alternative. "This is a huge undertaking in a youngster, with many repeat surgeries expected to be necessary throughout their life," Perry explained.

In the study, the researchers looked at health information on nearly 600,000 Scottish children from two different studies. One study included 5-and 6-year-old children born from 1970 onward. The other study began in 1995.

All of the children had height and weight measurements taken when they started elementary school and then again when they were 11 to 12 years old.

Seventy-five percent of the youngsters who were obese at 5 or 6 were still obese when they were 11 or 12, the study found.

Kids who were severely obese at 5 or 6 had almost six times the risk of SCFE compared to their normal-weight peers. Those who were severely obese at 11 or 12 had 17 times the risk of the hip condition. And the more weight a child put on, the greater the risk of SCFE.

"We are very apprehensive that there will be an explosion in this hip disease if childhood obesity continues to rise," Perry said.

He said it's important that parents realize children won't just outgrow obesity. Significant lifestyle changes are needed.

But given the rise in childhood obesity, Perry also noted that physicians who care for children need to be aware of this condition.

"Hip pain -- and knee pain, as the hip and the knee share sensory [feeling] nerves -- in adolescents, and especially obese adolescents, may mean the child has a SCFE," Perry said. Children with hip pain need to be examined on an urgent basis, as well as have X-rays to identify the deformity.

The findings were published online Oct. 22 in the journal Pediatrics.

More information

The American Academy of Orthopaedic Surgeons has more details on slipped capital femoral epiphysis.