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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Acute chondrolysis following slipped capital femoral epiphysis. Extended proximal femoral osteotomy.

The thyroid gland was firm at palpation, but no cervical adenopathy was detected. Los resultados de estos distintos tratamientos son aleatorios. Femoarl Cases Courses Quiz.

Case 4 Case 4. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. SCAFE sign and radilogical interpretation.

Intraoperative type 1 proximal femoral fractures. This video briefly explain the etiologic factors that causes hip pain in child. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Case 6 Case 6. Log in Sign up. During growth, there is a widening of the physeal plate proximap is particularly pronounced during a growth spurt.

The knee is investigated and found to be normal. Case 13 Case The role of MR imaging in patients with this condition is to help define the cartilaginous proximal femur and the presence or absence of a cartilaginous connection to the femoral head. Print Send to a friend Export reference Mendeley Statistics. Chondrolysis following slipped capital femoral epiphysis.


Si existe rigidez de la cadera, se bascula la pelvis. His radiographs are shown in Figures A and B. The treatment of chronic slipped capital femoral epiphysis by biplane osteotomy. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain. The initial radiograph is shown in Figure A. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.

Core Tested Community All. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation.

Check for errors and try again. These patients should be diagnosed early, and furthermore, they should be managed by an interdisciplinary e;ifisiolisis. Hip epiphysiolysis of unknown origin is frequent in children and epufisiolisis.

Epifisiólisis femoral proximal – PDF Free Download

Consultation with an orthopaedic surgeon is epitisiolisis to repair this problem. Surgical intervention was postponed until normalization of thyroid function, anemia, and metabolic profile. 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.

For reasons that are not well understood, the ball at the head of the femur thighbone slips off the neck of the bone in a backward direction.

Children with a SCFE experience a decrease in their range of motion, and are often unable to complete hip flexion or fully rotate the hip inward. Loder Classification — based on ability to bear weight. Ipsilateral proximal and shaft femoral fractures.

Slipped upper femoral epiphysis | Radiology Reference Article |

Se han propuesto e intentado diversos tratamientos: J Pediatr Orthop ;6: Cuneiform osteotomy of the femoral neck in the treatment of slipped capital femoral epiphysis. How important is this topic for board examinations? One month later, patient was finally discharged. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Abnormal movement along the growth plate results in the slip. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain.


T3 acts in the process of chondrocyte maturation in the growth plate, and it also has an important role in the interstitial matrix favoring the synthesis of type II collagen 5. This method does not permit definite classification during the first year of life.

On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign.

Images in Pediatric Endocrinology: BILATERAL SLIPPED CAPITAL FEMORAL EPIPHYSIS – Ed. 65

Sonographic assessment of stability and remodeling. The demographics of slipped capital femoral epiphysis. Symptoms Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg Usual onset Adolescence Risk factors Obesityhypothyroidism Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical term referring to a fracture through the growth epifisioliiss physiswhich results in slippage of the overlying end of the femur metaphysis.