The slipped capital femoral epiphysis scfe is a fracture that occurs through the growth cartilage and causes slippage inside and under the proximal femoral epiphysis. Feb 27, 2019 please use one of the following formats to cite this article in your essay, paper or report. Slipped capital femoral epiphysis 30 modified dunn procedure. In some cases, malalignment of the femoral epiphysis and metaphysis may epifusiolisis seen. Slipped capital femoral epiphysis scfe is an orthopedic condition of children and adolescents. Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by intertrochanteric osteotomy. Please use one of the following formats to cite this article in your essay, paper or report. The xray showed a clear image of a stress fracture, possibly on a sequel of chronic slipped capital femoral epiphysis. Aug 23, 2018 please use one of the following formats to cite this article in your essay, paper or report. Slipped capital femoral epiphysis adolescent medicine.
Slipped capital femoral epiphysis is a relative infrequent entity but it is respon sible for. Slipped capital femoral epiphysis scfe is an condition of the proximal femoral physis that leads to slippage of the metaphysis relative to the. As a result, the epiphysis separates from the rest of the bone and the femur moves out of alignment in the hip joint. Only in a few cases, endocrine factors decreasing the resistance of the physis to shear strength can be detected. Slipped capital femoral epiphyis scfe or epiphysiolistesis proximal femoral is an epiphysial displacement over the metaphysis and across the bone growing cartilage. The treatment of slipped capital femoral epiphysis with the modified dunn procedure allows the restoration of more normal proximal femoral anatomy by complete correction of the slip angle, such. Due to the fracture displacement and the evolution time it was treated with uncemented total hip arthroplasty. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Univalleunivalparaisofundacion hospital ortopedico infantilhospital materno infantil teresa herrera. Article in french benoit g, delmas v, gillot c, hureau j. Slipped upper femoral epiphysis sufe, also known as a slipped capital femoral epiphysis scfe, is a relatively common condition affecting the physis of the. Slipped capital femoral epiphysis scfe is one of the most important pediatric and adolescent hip disorders encountered in medical practice.
Deslizamientos epifisarios femorales proximales 30. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Epifisiolistesis femoral proximal, deslizamiento epifisario, cadera, femur proximal, radiologia, fijacion. Evaluacion anatomica y funcional en una cohorte retrospectiva. Anatomical and functional evaluation in a retrospective cohort in doaj. There were 23 mild slips, 18 moderate, and 6 severe.
The epiphysis is the end of a long bone and is joined to the bone at the growth plate physis. Id like to thank my brother, for standing w b saunders co. You can change the settings or obtain more information by clicking here. Thirty six patients with a chronic slip of the capital femoral epiphysis and a femoral headneck angle of more than 30 degrees, as measured in a lateral radiograph, were treated by. Operative treatment was performed in all but one of the slips. Remodeling after pinning for slipped capital femoral epiphysis. Slipped capital femoral epiphysis is a relative infrequent entity but it is respon sible for early degenerative arthritis. Prophylactic pinning of the contralateral hip in slipped capital femoral. Tratamiento del deslizamiento epifisiario capital femoral con. Slipped capital femoral epiphysis scfe is characterized by displacement of the capital femoral epiphysis from the metaphysis through the physis. Discussing weight loss and weight management in spanish. In scfe, the physis in the head of the femur thigh bone becomes loose. Tratamiento del deslizamiento epifisiario capital femoral.
On the ap, a eifisiolisis drawn up the lateral edge of the femoral neck line of klein fails to intersect the epiphysis during the acute phase trethowan sign. The pain and the limp typically tend to come and go, worsening with activity and getting better epifisiolisgese rest. The contralateral hip was normal and a delayed closure of physis due to hypothyroidism was ruled out. Doaj is an online directory that indexes and provides. Weight loss and management anticipatory guidance in spanish lesson download. Intertrochanteric osteotomy for the treatment of chronic. Cirujano ortopedista neuroortopedia y traumatologia infantil. Pdf deslizamientos epifisarios femorales proximales 30. Treatment of the contralateral hip is more controversial.
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