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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From Wikipedia, the free encyclopedia. Check for errors and try again. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Nonoperative removable walking boot vs. Frequent falls due to crossed legs. Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

Se continuar a navegar, consideramos que aceita o seu uso. She has mild swelling over the ankle with no neurovascular deficit and soft compartments throughout the lower extremity.

Her radiograph is shown in Figure A. He is treated with surgical intervention and post-operative radiographs are shown in Figures B and C.

SCFE is associated with a greater risk of arthritis of the hip joint later in life. Slipped upper femoral epiphysis Dr Rohit Sharma and A. Stress on the hip causes the epiphysis to move posteriorly and medially.

Epifisiolisis distal de fémur | Revista Española de Cirugía Ortopédica y Traumatología

Her radiographs are shown in Figures A and B. Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition? During growth, epifidiolisis is a widening of the physeal plate which is particularly pronounced during a growth spurt.


Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. The disease can be treated with external in-situ pinning or open reduction and pinning. This is followed by the acute slip which is posteromedial.

The risk of reducing this fracture includes the disruption of the blood supply to the bone. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. W B Saunders Co. Which of the following sequelae is most commonly associated with this injury? Si continua navegando, consideramos que acepta su uso.

Are you a health professional able to prescribe or dispense drugs? Case 5 Case 5. She is not dependent on crutches for ambulation.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. This video briefly explain the etiologic factors that causes hip pain in child. He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side. Radiographs are shown in Figures A and B.

Eistal – Twisting injury 4 hours ago No prior pain or history of trauma.

Ankle Fractures – Pediatric

In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. By using this site, you agree to the Terms of Use and Privacy Policy.


Alignment of the epiphysis with fejoral to the femoral metaphysis can be used to grade the degree of slippage: Symptoms that persist for less than 3 weeks. Hip motion will be limited, particularly internal rotation. Distal epiphysiolysis of the femur. HPI – She has bilateral knock knees since 9 yrs of age.

A study feomral Scotland looked at the weight ofinfants, and followed them up to see who got SCFE. In 65 percent of cases of SCFE, the person is over the 95th percentile for weight.

Slipped Capital Femoral Epiphysis (SCFE)

What is the most appropriate treatment? Open reduction and pinning with multiple cannulated screws in an inverted fejoral configuration. The initial radiograph is shown in Figure A. One in five cases involve both hips, resulting in pain on both sides of the body. The diagnosis is a combination of clinical suspicion plus radiological investigation. Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg.

L6 – years in practice. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. Articles Cases Courses Quiz. Physical examination reveals external rotation of the extremity with hip flexion. She has no complains in the hips. His pain has significantly worsened over the past week. Synonyms or Alternate Spellings: The knee is investigated and found to be normal.