en españolDeslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis). A good, stable connection at the hip joint is what lets us walk, run, jump, and many . En algunos niños, particularmente en los que son obesos, el hueso del muslo y el de la cadera no están conectados como deberían debido a una afección. 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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Though the name’s quite a mouthful, it simply refers to a shift at the upper part of the thighbone, or femur, that results in a weakened hip joint. Doctors will continue to order follow-up X-rays to monitor the condition.
Slipped Capital Femoral Epiphysis (SCFE)
If a doctor thinks you may have SCFE you’ll need to see an orthopedic doctor a doctor who specializes in the treatment of boneswho will do a physical exam, checking the range of motion of the hips and legs and seeing if there is any pain. Kids and teens also have a growth plate at the top of the thighbone femurjust under the “ball” portion of the joint. An unstable SCFE is very serious because it can restrict blood flow to the hip joint. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis.
Doctors do know SCFE mostly happens in people between the ages of 11 and 16 who are going through a growth spurt. Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible. Often the range of motion in the hip is restricted in internal rotationabductionand flexion.
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Associated with decreased femoral anteversion and decreased femoral neck-shaft angle. But most cases are in kids between 11 and 16 years old who are going through a growth spurt. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis.
The doctor will do a thorough physical examination, checking the range of motion of the hips and legs and seeing if there is any pain. Using a fluoroscope — a special X-ray machine that produces a real-time image of the hip on a TV screen — as a guide, the surgeon will make a tiny incision near the hip, then put a metal screw through the bone and across the growth plate to hold it in place. About Blog Go ad-free.
Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible. Because of the direction of the slipped epiphysis, the person’s foot and leg will turn outward just like in a stable SCFE. Doctors will continue to order follow-up X-rays to monitor the condition. In severe cases, after enough rest the patient may require physical therapy to regain strength and movement back to the leg.
Fortunately, when recognized early, most cases of SCFE can be treated successfully. Patients usually can walk with crutches, but those who have both hips treated may need to use a wheelchair for the first couple of weeks after surgery. L6 – years in practice.
Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets
Retrieved 1 December The pain and the limp typically tend to come and go, worsening with activity and getting better with rest. More on this topic for: Manage your child’s health information online – on your time!
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. Physical examination reveals external rotation of the extremity with hip flexion.
To make an appointmentplease call PEDS from 7 e;ifisiolisis. Sometimes this happens suddenly — after a fall or sports injury, for example — but often it happens gradually with no prior injury.
Epifisiolsiis hip is a ball-and-socket joint, which means that the rounded end of one bone in this case, the “ball” of the thighbone fits into the hollow of another bone the pelvis. Because some patients have a high risk of an Epofisiolisis in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet.
Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. Because some patients have a high risk of an SCFE in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet.
Because some patients have a high risk of an SCFE in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet.
However, teens with unstable SCFE have a greater chance of developing other problems later, like stiff hips, early arthritis, leg length differences, or avascular necrosis where part of the “ball” dies from lack of blood supply.
Which of the following figures accurately represents the method used to determine the radiographic severity of the epiphyseal slip and help guide treatment? To quiz cqpital on this article, log in to see multiple choice questions. From Wikipedia, the free encyclopedia.
Views Read Edit View history. Radiographs are taken and shown in Figures A and Femofal. Ultrasound may be performed in the assessment of hip pain.