Pediatric Hip Disorder

Causes, Symptoms, and Treatment of Common Hip Conditions in Children

Pediatric hip disorders affect the development, alignment, or stability of the hip joint in children and adolescents. Two of the most common conditions are Legg-Calvé-Perthes disease and slipped capital femoral epiphysis (SCFE). Both involve changes to the femoral head—the ball-shaped part of the thigh bone that fits into the hip socket—and can affect how the hip moves and grows.

Legg-Calvé-Perthes disease occurs when blood supply to the femoral head is temporarily disrupted, causing the bone to weaken and lose shape. It typically affects children between ages 4 and 10 and may cause limping, hip or knee pain, and stiffness.

Slipped capital femoral epiphysis (SCFE) usually occurs in adolescents during growth spurts, when the ball of the hip slips out of alignment with the neck of the femur. This can cause pain in the hip, thigh, or knee, and difficulty walking.

Diagnosis is made through physical exam and imaging such as X-rays. Early detection is important to protect the joint and avoid long-term damage.

Treatment varies based on the condition and severity. It may include rest, activity modification, physical therapy, or surgery to stabilize the hip and protect future growth.

At Slocum, our pediatric orthopedic team provides expert care for hip conditions in children, with a focus on early intervention and long-term joint health.