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Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice. Slipped capital femoral epiphysis (SCFE) is an condition of the proximal femoral physis that leads to slippage of the metaphysis relative to the. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.

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SCFE affects approximately 1—10 perchildren. To make an appointmentplease call PEDS from 7 a.

Physical examination reveals external rotation of the extremity with hip flexion. Subscriber If you already have your login data, please click here. The diagnosis is a combination epifosiolisis clinical suspicion plus radiological investigation. Unable to process the form.

In the majority of cases, further surgery is not needed. In SCFE, the “ball” called the epiphysis slips off of the top part of the femur, almost the way a scoop of ice cream might slip off a cone. What is the most appropriate treatment?

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

His radiographs are shown in Figures A and B. From Monday to Friday from 9 a. What is the most common limb length and rotational profile found as a sequelae of this condition? However, teens with unstable SCFE have a greater chance of developing other femoeal later, like stiff hips, early arthritis, leg length differences, or avascular necrosis where part of the “ball” dies from lack of blood supply.

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Retrieved 30 November Because some patients have a high risk fejoral an SCFE in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet. He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side.

A SCFE is an orthopaedic emergency, as further slippage may result in occlusion dpifisiolisis the blood supply and avascular necrosis risk of 25 percent. By using this site, you agree to the Terms of Use and Privacy Policy. SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females.

Which of the following figures accurately represents the method used to determine the radiographic epifisiolisix of the epiphyseal slip and help guide treatment? This is called the physis, and it’s made out of cartilage, which is weaker than bone.

Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg. How would you treat this patient?

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Slipped capital femoral epiphysis

X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. Chondropathies Skeletal disorders Rare diseases Medical terminology. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. Surgery for SCFE is done under general anesthesia when a patient is completely asleep. Case 13 Case The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role.

How Is It Diagnosed? National Library of Medicine. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.

Fortunately, when recognized early, most cases of SCFE can be treated successfully. He does not have a history of kidney disease.

Case 8 Case 8. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. Pediatric Orthopaedic Society of North America.