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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Skeletal changes may also make someone at risk of SCFE, including femoral or acetabular retroversion, [5] those these may simply be chronic skeletal manifestations of childhood obesity. Check for errors and try again.

Slipped upper femoral epiphysis | Radiology Reference Article |

L6 – years in practice. The diagnosis is a combination of clinical suspicion plus radiological investigation.

What is the most common limb length and rotational profile found as a sequelae of this condition? Case 4 Case 4.

Slipped Capital Femoral Epiphysis (SCFE)

In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. HPI – She has bilateral knock knees since 9 yrs of age. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.

Hip motion will be limited, particularly internal rotation.

Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve. He does not have a history of kidney disease. Her radiographs are shown in Figures A and B.


Her radiograph is shown in Figure A. However, it should not be used as a replacement for a pelvic radiograph. What is the next step in management?

Radiographs are shown in Figures A and B. A small incision is made in the outer side of the upper thigh and metal pins are placed through the epifksiolisis neck and into the head of the femur. What is the next best step in management? What is the best management option? Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg.

Radiographs are taken and shown in Figures A and B. What is the most appropriate treatment? SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

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The term slipped capital femoral epiphysis is actually a misnomerbecause the epiphysis end part of a bone remains in its normal anatomical position in the acetabulum hip socket due to the ligamentum teres femoris. A study in Scotland looked at the weight ofinfants, and followed them up to see who got SCFE.


Nelson textbook of pediatrics 19th ed. Distal epiphysiolysis of the femur. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. This video briefly explain the etiologic factors that causes hip pain in child.

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

Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition?

Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. Views Read Edit View history. Gonad protection is usually used in pelvic x-rays of children. SCFE is associated with a greater risk of arthritis of the hip joint later in life.

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The risk of reducing this fracture includes the disruption of the blood supply to the bone. A dressing covers the wound. This page was last edited on 16 Novemberat By using this site, epifisiolisi agree to the Terms of Use and Privacy Policy.