Slipped capital femoral epiphysis is a medical term referring to a fracture through the growth SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be applied at the growth. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral common condition affecting the physis of the proximal femur in adolescents. La epifisiólisis femoral proximal (EFP) consiste en un deslizamiento de la epífisis femoral proximal respecto al cuello.
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Epifisiólisis femoral proximal – PDF Free Download
Case 5 Case 5. Se han propuesto e intentado diversos epjfisiolisis SCFE is associated with a greater risk of arthritis of the hip joint later in life. The etiology of this disorder is uncertain.
N Y State J Med ; Case 8 Case 8. Long-term result with closed reduction and hip plaster spica.
Images in Pediatric Endocrinology: BILATERAL SLIPPED CAPITAL FEMORAL EPIPHYSIS – Ed. 65
EMC Aparato locomotor ;49 2: Also, the severity of coxa varaif present, will influence treatment selection. Slipped capital femoral epiphysis in southern Sweden. Intertrochanteric versus subcapital osteotomy in slipped capital femoral epiphysis. Case 5 Case 5. Does unstable slipped capital femoral epiphysis require urgent stabilization?
However, it should not be used as a replacement for a pelvic radiograph. Slipped capital femoral epiphysis associated with endocrine disorders. September Pages Support Radiopaedia and see fewer ads. The disease can be treated with external in-situ pinning or open reduction and pinning.
Log in Proximmal up. Case 2 Case 2. Wedge osteotomy of the neck of the femur in advanced cases of displaced upper femoral epiphysis; 10 year study.
Slipped upper femoral epiphysis | Radiology Reference Article |
Chondrolysis complicating slipped capital femoral epiphysis. 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. Evaluation with laser capture microdissection and quantitative reverse transcription—polymerase chain reaction.
Pediatric Orthopaedic Society of North America.
Ultrasound may be performed in the assessment of hip pain. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. The incidence and distribution of slipped capital femoral epiphysis in Connecticut and Epifisioolisis United States. Reconstr Surg Traumatol ; Proximal femoral geometry and hip fracture patterns.
J Pediatr Orthop B ;5: In 65 percent of cases of SCFE, the person is over the 95th percentile for weight.
He does not have a history of kidney disease. Articles Cases Courses Quiz.
Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. A quantitative analysis efmoral motion, gait, and femoral remodeling after in situ fixation.
Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser osteotomy. Increased intracapsular pressures after unstable slipped capital femoral epiphysis. Compression fixation after biplane intertrochanteric osteotomy for slipped capital femoral epiphysis. As such prophylactic pinning is recommended by some 3. Factors influencing the development of osteonecrosis in patients treated for slipped capital femoral epiphysis.
However, the dose required for the examination means that it proximap not be used unless absolutely necessary.
Slipped capital femoral epiphysis
X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. The condition usually develops gradually over time and is more common in boys than in girls.
SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females. Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this late in childhood, the supply is tenuous and frequently lost after the fracture occurs. Peterson et al  han insistido en el tratamiento urgente. The incidence of proximal focal femoral deficiency is on the order of perlive births 4.
Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.