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EPIFISIOLISIS PROXIMAL DE FEMUR PDF

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.

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Continuing navigation will be considered as acceptance of this use. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. Surgery for SCFE is done under general epifisioljsis when a patient is completely asleep.

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.

Clinical Orthopaedics and Related Research. National Institute of Health.

Slipped capital femoral epiphysis

SCFEs are most common in adolescents 11—15 years of age, [7] and affects boys more frequently than girls male 2: Epifisiolisiis cases of SCFE affect only one hip, but many are eventually found to epifisiolsiis both hips be bilateral.

Often the range of motion in the hip is restricted in internal rotation priximal, abductionand flexion. The doctor will also take X-rays of the hips to look for any displacement at the head of the thighbone.

September Pages Subscriber If you already femr your login data, please click here. 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.

Stress around the hip causes a shear force to be applied at the growth plate. Failure to treat a SCFE may lead to: Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. In other projects Wikimedia Commons. Pproximal uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

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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. 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.

Slipped Capital Femoral Epiphysis (SCFE)

When SCFE affects one epiflsiolisis, doctors may closely watch the other to see if it develops SCFE; or, if that’s considered very likely, they might treat both hips at the same time.

Are you a health professional able to prescribe or dispense drugs? Stress on the hip causes the epiphysis to move posteriorly and medially.

SCFE is always treated with surgery to stabilize the growth plate that slipped. Currently, osteosynthesis using a single cannulated screw is the preferred procedure.

Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head. SCFE is the most common hip disorder in adolescence. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, cemur cannulated or cancellous screws. A dressing covers the wound. 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.

American Academy of Orthopaedic Surgeons.

Nelson textbook of pediatrics 19th ed. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

Because some patients have a high risk of an SCFE in the other hip, the surgeon epifisiolisus also stabilize that side too, even if it hasn’t slipped yet.

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By using this site, you agree to the Terms of Use and Privacy Policy. 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. Stretching is very limited. Abnormal movement along the growth plate results in the slip.

Signs of a SCFE include a waddling gaitdecreased range of motion. No one knows for sure what causes SCFE. 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. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing.

The diagnosis is a combination of clinical suspicion plus radiological investigation. Most kids do well when SCFE is caught and treated early.

Slipped Capital Femoral Epiphysis (SCFE) (for Parents)

The disease can be treated with external in-situ pinning or open reduction and pinning. One in five cases involve both hips, resulting in pain on both sides of the body. From Wikipedia, the free encyclopedia. A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the proimal supply and avascular necrosis risk of 25 percent.

Children with a SCFE experience a decrease in their range of motion, and are often unable to complete hip flexion or fully rotate the hip epifisioliss.

Ball-and-socket joints offer the greatest range epifisioolisis movement of all types of joints, which explains why we can move our legs forward, backward, and all around. SCFE is also more likely in kids who have these risk factors, all of which can affect bone health:.