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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Her parents indicate that outside radiographs were interpreted to be normal. Case 8 Case 8. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: W B Saunders Co.

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Ankle Fractures – Pediatric

SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role.

Continuing navigation will be considered as acceptance of this use. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. L7 – years in practice. Are you a health professional able to prescribe or dispense drugs? Provides prognostic information for complication of femoral head osteonecrosis.

MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Treatment of the contralateral hip is more controversial. Loading Stack – 0 images remaining. Slipped upper femoral epiphysis Dr Rohit Sharma and A.


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

Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain.

Core Tested Community All. About Blog Go ad-free. In other projects Wikimedia Commons. Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition?

Pediatric Orthopaedic Society of North America. Gonad protection is usually used in pelvic x-rays of children. ORIF reduction percutaneous manipulation with K wires may aid reduction open reduction may be required if interposed tissue present instrumentation transepiphyseal fixation best if at all possible cannulated screws parallel to physis Tillaux and triplane fractures 2 parallel epiphyseal screws medial malleolus shear fractures transphyseal fixation smooth K wires.

Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. Which of the following osteotomies is MOST appropriate? CiteScore measures average citations received per document published.

To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.

Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration. SCFE is associated with a greater risk of arthritis of the hip joint later in life. SCAFE sign and radilogical interpretation.


In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. L6 – years in practice. Which of the following sequelae is most commonly associated with this injury?

Almost all cases require surgery, which usually involves the placement of one or two pins into the femoral head to prevent further slippage. Retrieved 30 November Which of the following vessels gives the greatest blood supply to the femoral head? Show more Show less. Please login to add comment. Core Tested Community All. Sanz ReigR.

Salter-Harris classification | Radiology Reference Article |

This item has received. Symptoms that persist for less than 3 weeks. Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this late in childhood, the supply is tenuous and frequently lost after the fracture occurs.

In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Case 5 Case 5. As such prophylactic pinning is recommended by some 3. L6 – years in practice. Radiographs are shown in Figures A and B. epifisioliais