Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. Slipped capital femoral epiphysis (SCFE) is an condition of the proximal femoral physis that leads to slippage of the metaphysis relative to the. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.
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SCFE is associated with a greater risk of arthritis of the hip joint later in life. But in epirisiolisis teens — particularly those who are obese — the thighbone and the hipbone are a little less well connected than they should be because of a condition called slipped capital femoral epiphysis SCFE. Her radiograph is shown in Figure A. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Contact Us For general information and inquiresplease call In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.
Running, and other strenuous activity on legs, will also cause epifsiiolisis hips to abnormally move due to the condition and can potentially worsen the pain. Stress around the hip causes a shear force to be applied at the growth plate. Doctors do know SCFE mostly happens in people between the ages of 11 and 16 who are going through a growth spurt.
The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Slipped upper femoral epiphysis | Radiology Reference Article |
Pediatric Orthopaedic Society of North America. This type of pain is called referred painwhich means pain starts in one part of the body but is felt in another part.
Bernese periacetabular osteotomy with extension, external rotation, and valgus-producing femoral osteotomy. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. How important is this topic for board examinations?
SRJ is a prestige metric based on the idea that not all citations are the same. L6 – years in practice. He denies pain in the right epifisiolizis.
In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. Our main hospital address is:. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external epifisiolosis. Currently, osteosynthesis using a single cannulated screw is the preferred procedure. Whilst it can occur in any child, the major risk factor is childhood obesity. Most teens whose SCFE is caught and treated early do well.
Femoal falls due to crossed legs. Physical examination reveals external rotation of the extremity with hip flexion. Forceful manipulation is not indicated because it is associated with an increased risk epifisiolissis complications. Because of the direction of the slipped epiphysis, the person’s foot and leg will turn outward just like in a stable SCFE.
Therefore the head of the femur is usually pinned ‘as is’. Views Read Edit View history. Learn more ways you can give.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Nelson textbook of pediatrics 19th ed. How Is It Treated? Hospital Universitario Central de Asturias. Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition? The initial radiograph is shown in Figure A. In the pre-slip phase, there is a widening of the growth plate with irregularity and blurring of the physeal edges and demineralisation of the metaphysis.