EPIFISIOLISIS PROXIMAL DE FEMUR PDF

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Slipped capital femoral epiphysis is a medical term referring to a fracture through the growth SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be applied at the growth. Palabras clave: epifisiolisis femoral proximal, cadera, no parecen modificar en exceso el mal resultado de epifisiolisis con desplazamiento severo no. Download Citation on ResearchGate | Proximal femoral epiphysiolysis | Purpose. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.

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The risk of reducing this fracture includes the disruption of the blood supply to the bone. Stretching is very limited. A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent.

Si continua navegando, consideramos que acepta su uso. But most cases are in kids between 11 and 16 years epifisiooisis who are going through a growth spurt. Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.

Children with a SCFE experience a decrease in their range of motion, and are eppifisiolisis unable to complete hip flexion or fully rotate the hip inward. A child thought to have SCFE will see an orthopedic doctor, a specialist in the treatment of bones.

Skeletal changes may also make someone at risk of SCFE, including femoral or acetabular retroversion, [5] those these may simply be chronic skeletal manifestations of childhood obesity. In other projects Wikimedia Commons.

Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis proximla non-septic necrosis of the femur head. SCFE is always treated with surgery to stabilize re growth plate that slipped. Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve.

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From Wikipedia, the free encyclopedia. American Academy of Orthopaedic Surgeons. Chondropathies Skeletal disorders Rare diseases Medical terminology. The knee is investigated and found to be normal.

Slipped capital femoral epiphysis

SCFE is a shift at the upper part of the thighbone, or femur, that results in a weakened hip joint. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. Symptoms Groin pain, referred knee and thigh pain, prximal gaitrestricted range of motion of leg Usual onset Adolescence Risk factors Obesityhypothyroidism Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical prodimal referring to a fracture through the growth plate physiswhich lroximal in slippage of the overlying end of the femur metaphysis.

This item has received. In 65 percent of cases of SCFE, the person is over the 95th percentile for weight. A dressing covers the wound.

In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. Obesity is another key predisposing factor in the development of SCFE. But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.

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Hip motion will be limited, particularly internal rotation. 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.

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Slipped Capital Femoral Epiphysis (SCFE)

The fracture occurs at the hypertrophic zone of the physeal cartilage. National Library of Medicine. Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular cartilage chondrolysis because of the tenuous nature of the blood supply. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.

This growth plate is called the physis and it’s made of cartilage, which is weaker than bone.

Slipped capital femoral epiphysis – Wikipedia

By using this site, you agree to the Terms of Use and Privacy Policy. Stress around the hip causes a shear force to be applied at the growth plate. Sometimes SCFE can irritate the nerves that run down the leg, causing referred pain pain that starts in one part of the body but is felt in another. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Views Read Edit View history.

In this case, pain begins in the abnormal hip joint but is felt in the normal knee joint.