Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. nightstick fracture. wrist. distal radial fracture distal phalanx fracture · Jersey finger · mallet femoral. Winquist classification (femoral shaft fracture). knee. Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice.
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Symptoms that persist for less than 3 weeks. Provides prognostic information for complication of femoral head osteonecrosis.
FRACTURA DIAFISARIA DE FÉMUR Y EPIFISIOLISIS TIPO IV DE FÉMUR DISTAL IPSILATERAL
Thank djstal for rating! Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Ultrasound may be performed in the assessment of hip pain. Clinical Orthopaedics and Related Research.
Retrieved 30 November He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side. Retrieved from ” https: Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment capital femoral epiphysis to the normal distal fragment femoral neck.
From Monday to Friday from 9 a. Physical examination reveals external rotation of the extremity with hip flexion. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views.
Case 6 Case 6.
His radiographs are shown in Figures A epifisiolusis B. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt.
In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. Grading System — based on percentage of slippage. Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from November Articles with unsourced statements from January Articles with unsourced statements from July Wikipedia articles with GND identifiers. Distap are shown in Figures A and B. How important is this topic for board examinations?
Obesity is another key predisposing factor in the development of SCFE. Loading Stack – 0 images remaining. His pain has significantly worsened over the past week. Frequent falls due to crossed legs.
Please login to add comment. Obesity is a significant risk factor. If a significant deformity is present, then osteotomies and even joint replacement may be required. She is not dependent on crutches for ambulation. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. The disease can be treated with external in-situ pinning or open reduction and pinning.
Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular cartilage chondrolysis because of the tenuous nature of the blood supply.
MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.
Slipped capital femoral epiphysis – Wikipedia
Which of the following osteotomies is MOST appropriate? On physical examination she has restricted hip flexion motion, an external rotation deformity, and obligatory external rotation upon hip flexion manuevering. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. On the AP, epifisiiolisis line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign.