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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The left hip is more often affected than the right. SCFE affects approximately 1—10 perchildren. She has mild swelling over the ankle with no neurovascular deficit and soft compartments throughout the lower extremity.
What is the best management option? Abnormal movement along the growth plate results in the slip. Case 13 Case Case 8 Case 8. SCAFE sign and radilogical interpretation. The risk of reducing this fracture includes the disruption of the blood supply to the epjfisiolisis. The disease can be treated with external in-situ pinning or open reduction and pinning. Bernese periacetabular osteotomy with extension, external rotation, and valgus-producing femoral osteotomy.
On physical examination she has restricted hip flexion motion, an external rotation deformity, and obligatory external rotation upon hip flexion manuevering. Retrieved 30 November Which epifiiolisis the following is associated with the radiographic abnormality seen in Figure B? His pain has significantly worsened over the past week. Read it at Google Books – Find it at Amazon.
Slipped Capital Femoral Epiphysis (SCFE)
As the physis becomes more oblique, shear forces across the growth plate increase and result dustal an increased risk of fracture and resultant slippage. Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg. Please vote below and help us build epifsiolisis most advanced adaptive learning platform in medicine.
Knee radiographs, including stress views, are negative. Obesity is another key predisposing factor in the development of SCFE. Case 7 Case 7.
Loading Stack – 0 images remaining. While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present.
Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. SCFE is feoral most common hip disorder in adolescence.
Findings are nonspecific and may include hip joint effusion. Stress on the hip causes the epiphysis to move posteriorly and medially.
Ankle Fractures – Pediatric – Pediatrics – Orthobullets
The history and physical do not reveal any findings concerning for an endocrine disorder. The knee is investigated and epiifsiolisis to be normal. In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration.
In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. The metaphysis is displaced laterally and therefore may not overlap posterior lip of the acetabulum as it should normally loss of triangular sign of Capener 5.
Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration. Which of the femofal zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition? The fracture occurs at the hypertrophic zone of the physeal cartilage.
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Tillaux Fractures – Pediatrics – Orthobullets
MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. SCFEs usually cause groin epifisioliisis on the affected side, epifisiolissi sometimes cause knee or thigh pain.
This page was last edited on 16 Novemberat She has no complains in the hips. A dressing covers the wound. It has been shown in the past that attempts to correct the slippage by moving the head back into its correct position can cause the bone to die.
This item has received. L7 – years in practice.