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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Pediatric Orthopaedic Society of North America. Support Radiopaedia and see fewer ads. A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into the head of the femur. L8 – 10 years in practice. Previous article Next article. Her radiographs are shown in Figures A and B. Synonyms or Alternate Spellings: Lizaur UtrillaFeemoral.

Her parents indicate that outside radiographs were interpreted to be normal. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. A study in Scotland looked at the weight ofinfants, and followed them up to see who got SCFE.


From Wikipedia, the free encyclopedia. His pain has significantly worsened over the past week. SCFE affects approximately 1—10 perchildren. How would you treat this patient?

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. What is the most appropriate treatment? By using this site, you agree to the Terms of Use and Privacy Policy. She has no complains in the hips. Thank you for updating your details.

Please vote below and help us build the most advanced adaptive learning platform in medicine. Case 7 Case 7. Unable to process the form. Case 13 Case CiteScore measures average citations received per document published. What is next best step in management?

Ankle Fractures – Pediatric – Pediatrics – Orthobullets

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HPI – Twisting injury of left ankle while playing football. Treatment of the contralateral hip is more controversial. Frequent falls due to crossed legs. However, it should not be used as a replacement for a pelvic radiograph. Whilst it can occur in any child, the major risk factor is childhood obesity. Once SCFE is suspected, the patient should be non- weight bearing and remain on femoraal bed rest.


The fracture occurs at the hypertrophic zone of the physeal cartilage. She has mild swelling over the ankle with no neurovascular deficit and epifisiolisus compartments throughout the lower extremity.

The epifisiollsis hip is more often affected than the right. Radiographs recommended views AP mortise lateral optional views full-length tibia or proximal tibia to rule out Maisonneuve-type fracture CT scan indications assess fracture displacement best obtained post-reduction assess articular step-off preop planning.

Ankle Fractures – Pediatric

However, the dose required for the examination means that it should not be used unless absolutely necessary. American Academy of Orthopaedic Surgeons. What is the next step in management? In situ percutaneous pinning with multiple cannulated distaal in an inverted triangle configuration. SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females.

W B Saunders Co. L7 – years in practice. Knee radiographs, including stress views, are negative.