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. Palabras clave: epifisiolisis femoral proximal, cadera, no parecen modificar en exceso el mal resultado de epifisiolisis con desplazamiento severo no. Download Citation on ResearchGate | Proximal femoral epiphysiolysis | Purpose. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.
|Published (Last):||15 July 2007|
|PDF File Size:||17.74 Mb|
|ePub File Size:||4.97 Mb|
|Price:||Free* [*Free Regsitration Required]|
Show more Show less. In SCFE, the femoral head of the thighbone slips through the physis, almost the way a scoop of ice cream might slip off a cone. Subscriber If you already have your login data, please click here. A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into ee head of the femur. The disease can be treated with external in-situ pinning or open reduction and pinning.
Slipped capital femoral epiphysis
In rare cases, X-rays will come back normal, but the pain, stiffness, and other problems will still be there. National Institute of Health.
Using a fluoroscope — a special X-ray machine that produces a real-time image of the hip on a TV screen — as a guide, the surgeon will make a tiny incision near the hip, then put a metal screw through the bone and across the growth plate to hold it in place. Pinning the unaffected side prophylactically is not recommended for most patients, but may be appropriate if a second SCFE is very likely.
Obesity is another key predisposing factor in the development of SCFE. They’re also more likely to require additional surgery to take care of their hip. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
This growth plate is called the physis and it’s made of cartilage, which is weaker than bone. Hip motion will be limited, particularly internal rotation.
In this case, pain begins in the abnormal hip joint but is felt in the normal knee joint.
SCFE is always treated with surgery to stabilize the growth plate that slipped. Previous article Next article. For specific medical advice, diagnoses, and treatment, consult your doctor.
Slipped Capital Femoral Epiphysis (SCFE)
A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent. Sometimes SCFE can irritate the nerves that run down the leg, causing referred pain pain that starts in one part of the body but is felt in another. More on this topic for: Retrieved from ” https: But most cases are in kids between 11 and 16 years old who are going through a growth spurt.
Failure to treat a SCFE may dd to: Hospital Universitario Central de Asturias. Ffemur Wikipedia, the free encyclopedia. A study in Scotland looked at the weight ofinfants, and followed them up to see who got SCFE.
The left hip is more often affected than the right. Not everyone can prevent SCFE. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation.
Nelson textbook of pediatrics 19th ed. Subscribe to our Newsletter. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. You can change the settings or obtain more information by clicking here.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
This item has received. 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 plate physiswhich results in slippage of the overlying end of the femur metaphysis. Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible.
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.
A dressing covers the wound.
From Monday to Friday from 9 a. Prevalence, Pathogenesis, and Natural History”. Print Send to a friend Export reference Mendeley Statistics. Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. In 65 percent femhr cases of SCFE, the person is over the 95th percentile for weight. The hip is a ball-and-socket joint, which means that the rounded end of one bone in this case, the “ball” of the thighbone fits into the hollow of another bone the acetabulum, or cup-shaped “socket” of the pelvis.