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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Stress on the hip causes the epiphysis to move posteriorly and medially. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to diistal.
How would you treat this patient? She has 2 years of activity-related left hip pain and pain with prolonged sitting.
Ankle Fractures – Pediatric
Disfal radiographs are shown in Figures A and B. 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.
The history and physical do not reveal any findings concerning for an endocrine disorder. While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present.
Synonyms or Alternate Spellings: Please vote below and help us epifisiollsis the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Views Read Edit View history. Case 1 Case 1.
Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. 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 inward.
Loder Classification — based on ability to bear weight. His pain has significantly worsened over the past week. A dressing covers the wound.
Please vote below and help us build the most advanced adaptive learning platform in medicine. Radiographs are shown epiisiolisis Figures A and B. The disease can be treated with external in-situ pinning or open reduction and pinning.
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Salter-Harris classification | Radiology Reference Article |
Retrieved from ” https: 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.
What is the most appropriate treatment?
Articles Cases Courses Quiz. Which of the following osteotomies is MOST appropriate? How important is this topic for clinical practice?
Slipped Capital Femoral Epiphysis (SCFE)
Normally, the head of the femurcalled the capital, should sit squarely on the femoral neck. Whilst it can occur in any child, the major risk factor is epifisio,isis obesity. What is the next step in management?
Slipped upper femoral epiphysis Dr Rohit Sharma and A. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.
Unable to process the form. Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. Skeletal changes may also make someone at risk of Femotal, including femoral or acetabular retroversion, epifosiolisis those these may simply be chronic skeletal manifestations of childhood obesity.
A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into the head of the femur. Treatment of the contralateral hip is more controversial.
In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna.