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Hip Problem More Common In Overweight Kids

Ball Of Hip Joint Slips From Proper Place

Updated: 12:25 pm PDT May 27, 2004

With more kids becoming overweight, doctors are seeing more of a certain kind of hip problem.

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It is called slipped capital femoral epiphysis -- or scuffie, for short. It is the most common hip disorder among children 10 to 18. It especially strikes black boys and all children who are either athletic or overweight. It is most likely to happen during growth spurts.

Tyree Taylor, 12, isn't going to be playing basketball with his friends this summer. He is recovering from hip surgery.

"Tyree has a slipped capital femoral epiphysis," said Dr. Kristine Fortuna, an orthopedic surgeon at Temple University Hospital in Philadelphia.

The ball of the hip joint slips from its proper place, where it rotates around the growth plate.

Fortuna said that, a lot of the time, this happens because the child is overweight.

"The growth plate is kind of a slippery surface, and if you have too much weight and you just twist the wrong way, sometimes it just slips right out," Fortuna said.

"It was sharp pain. It shot straight through my leg. It was vibrating a lot," Tyree said.

Tyree's injury was discovered after he fell twice in one day last February. His mother, Cynthia Taylor, said she knew there was something very wrong.

"He looked like a pirate, when you see the one-legged pirate. He kept dragging his leg," Cynthia Taylor said.

So doctors operated and placed a 4-inch screw into Tyree's hip joint. But that was just step one.

"(The doctor) told me I had to lose weight for the surgery to go right," Tyree said.

Tyree weighed more than 200 pounds before surgery. He was told he needed to drop at least 20 pounds.

"We put him on a low-carb diet," Cynthia Taylor said.

So far, Tyree has lost about 10 pounds. That's pretty good for a guy who can't go out and run around like other normal, growing kids.

Tyree says he can't wait to get back on the basketball court, but until he gets the doctor's OK, he'll have to watch from the sidelines.

"As a parent, your heart aches, but you know you have to protect them for the long run. It's important to get treatment for your child right away," Cynthia Taylor said.

Doctors say the sooner you recognize the problem, the easier it is to treat and the better the treatment works.

According to the American Academy Of Orthopedic Surgeons, one-third of the kids who get scuffie in one hip will end up getting it in the other hip.