Arch Chir Neerl. ; THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS. BOUMAN FG. PMID: ; [Indexed for MEDLINE]. Ugeskr Laeger. Feb 26;(9) [Delayed diagnosis of epiphysiolysis capitis femoris]. [Article in Danish]. Søballe K(1), Juhl M, Høgh JP. Z Orthop Ihre Grenzgeb. Nov-Dec;(6) [“Recurrent” epiphysiolysis capitis femoris–need for simultaneous stabilization of both hip joints].

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We are determined to keep this website freely accessible. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. Failure to treat a SCFE may lead to: Please login to add comment.

Slipped Capital Femoral Epiphysis (SCFE)

In the pre-slip phase, there is a widening of the growth plate with irregularity and blurring of the physeal edges capktis demineralisation of the metaphysis. Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. Support Radiopaedia and see fewer ads.

National Library of Medicine. Pediatric Orthopaedic Society of North America. Please vote below and help us build the most advanced adaptive learning platform in medicine.

By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment capital femoral epiphysis to the normal distal fragment femoral neck.

A dressing covers the wound. Views Read Edit View history. He denies pain in the right leg. It is therefore is more easily seen remoris the frog-leg lateral view rather than the AP hip view.


Articles Cases Epiphysiolsis Quiz. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, eoiphysiolysis genetics researchers, and by advanced students in science and medicine. This page was last edited on 16 Novemberat SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females.

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Epiphysiolysis capitis femoris mit wahrscheinlich unregelmaessig dominantem Erbgang: In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna.

Familial slipped upper femoral epiphysis. Comparison with the literature revealed that delay in the diagnosis of ECF has not been reduced during the past 35 years. By using this site, you agree to the Terms of Use and Privacy Policy. Treatment of the contralateral hip is more controversial. A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent. Case 7 Case 7. Frequent falls due to crossed legs.

Abnormal movement along the growth plate results in the slip. W B Saunders Co. How important is this topic for clinical practice? Which of the following is associated with the radiographic abnormality seen in Figure B?

[Delayed diagnosis of epiphysiolysis capitis femoris].

It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. Signs of a SCFE include a waddling gait fmeoris, decreased range of motion. However, the dose required for the examination means that it should not be used unless absolutely necessary. From Wikipedia, the free encyclopedia.


Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B. To quiz yourself epiphysiolgsis this article, log in to see multiple choice questions. Rennie observed 12 children or adolescents with slipped upper femoral epiphysis and a close relative with the same.

Grading System — based on percentage of slippage. Radiographs are shown in Figures A and B. What is the most appropriate treatment? Archives of Disease capktis Childhood. Normally, the head of the femurcalled the capital, should sit squarely on the femoral neck. The left hip is more often affected than the right. It has been shown in the past that attempts to correct the cqpitis by moving the head back into its correct position can cause the bone to die.

Case 6 Case 6. Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser osteotomy. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

Check for errors and try again. Retrieved 30 November Familial slipped capital femoral epiphysis. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. About Blog Go ad-free.