Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. Slipped capital femoral epiphysis (SCFE) is an condition of the proximal femoral physis that leads to slippage of the metaphysis relative to the. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.

Author: JoJoran Muramar
Country: Italy
Language: English (Spanish)
Genre: Environment
Published (Last): 9 February 2016
Pages: 352
PDF File Size: 7.41 Mb
ePub File Size: 4.61 Mb
ISBN: 601-3-17263-954-7
Downloads: 22725
Price: Free* [*Free Regsitration Required]
Uploader: Zulusar

Archives of Disease in Childhood. The doctor will also take X-rays of the hip to look for the displacement at the head of the thighbone.

Case 7 Case 7. Radius 5 miles 10 miles 15 miles 20 miles 25 miles 50 miles.

His pain has significantly worsened over the past week. A stable SCFE usually causes the person to limp and walk fsmoral the foot turned outward. The left hip is more often affected than the right.

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 pelvis. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. An unstable SCFE is very serious because it can restrict blood flow to the hip joint.


Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.

Grading System — based on percentage of slippage.

Hip motion will be limited, particularly internal rotation. Pittsburgh, PA Get directions to our main campus. Case 4 Case 4.

Slipped capital femoral epiphysis

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. Please login to add comment. Forceful manipulation is not indicated because it is associated with an increased risk of complications. Failure to treat a SCFE may lead to: Open reduction and pinning with multiple cannulated screws in an inverted feemoral configuration.

The diagnosis is a combination of clinical suspicion plus radiological investigation. Knee fekoral, including stress views, are negative. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis.

SRJ is a prestige metric based on the idea that not all citations are the same. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. Which of the following zones of the growth epifisioolisis Figures B-F, all the same magnification is most commonly involved in this condition?


Most teens whose SCFE is caught and treated early do well. Loder Classification — based on ability to bear weight. 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.

More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to femorwl modify the poor results of epiphysiolysis with severe uncorrected displacement. Because some patients have a high risk of an SCFE in the other hip, the surgeon might also stabilize that epifisiolisiw too, even if it hasn’t slipped yet.

MRI can be used to examine the epifisioliss hip which is important because of the high incidence of bilateral slip. What is the most appropriate treatment? To understand SCFE, it helps to know a little about the hip joint.

She has no complains in the hips. SCAFE sign and radilogical interpretation. Symptoms that persist for less than 3 weeks. Contact Us For general information and inquiresplease call