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.
|Published (Last):||19 August 2010|
|PDF File Size:||13.73 Mb|
|ePub File Size:||3.87 Mb|
|Price:||Free* [*Free Regsitration Required]|
He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side. If your child capigal overweight and you need help developing a safe diet and exercise plan, talk to your child’s doctor.
The doctor will also take X-rays of the hip to look for the displacement at the head of caapital thighbone. This is followed by the acute slip which is posteromedial.
L6 – years in practice. Valgus-producing eppifisiolisis proximal femoral osteotomy Pauwel osteotomy. In rare cases, X-rays will come back normal, but the pain, stiffness, and other problems will still be there.
Forceful manipulation is not indicated because it is associated with an increased risk of complications. This capifal called the physis, and it’s made out of cartilage, which is weaker than bone.
Her parents indicate that outside radiographs were interpreted to be normal. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. Not everyone can prevent SCFE. Sometimes this happens suddenly — after a fall or sports injury, for example.
It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.
Sometimes SCFE can irritate the nerves that run down the leg so the person thinks the pain is coming from the knee. As such prophylactic pinning is recommended by some 3. 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. The risk of reducing this fracture includes the disruption of the blood supply to the bone.
Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration. 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.
Slipped Capital Femoral Epiphysis (SCFE)
Print Send to a Friend. In SCFE, the femoral head of the thighbone epifislolisis through the physis, almost the way a scoop of ice cream might slip off a cone. As the physis becomes more oblique, shear forces across epifidiolisis growth plate increase and result in an increased risk of fracture and resultant slippage. However, the dose required for the examination means that it should not be used unless absolutely necessary.
In the majority of cases, further surgery is not needed.
In rare cases, the X-rays will come back normal, but the pain, stiffness, and other problems will still be there. While trauma cpaital a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present.
Gonad protection is usually used in pelvic x-rays of children. 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.
What is the most common limb length and rotational profile found as a sequelae of this condition? Ball-and-socket joints offer the greatest range of movement of all types of joints, which is why you can move your legs forward, backward, and all around. 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.
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.
Signs of a SCFE include a waddling gaitdecreased range of motion. Pinning the unaffected side prophylactically is not recommended for most patients, but may be appropriate if a second SCFE is very likely.
Fortunately, when recognized early, most cases of SCFE can be treated successfully. Ball-and-socket joints offer the greatest range of movement of all types of joints, which is why you can move your legs forward, cspital, and all around.
Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets
However, teens with unstable SCFE have a greater chance of developing other problems cxpital, like stiff hips, early arthritis, leg length differences, or avascular necrosis where part of the “ball” dies from lack of blood supply. Ultrasound may be performed in the assessment of hip pain. In this case, pain begins in the affected hip joint but is felt in the normal knee joint.
The left hip is more often fsmoral than the right. SCFE is more common in boys, though girls can be affected, too. Consultation with an orthopaedic surgeon is necessary to repair this problem. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: They’re also more likely to require additional surgery to take care of the hip.
Read stories from our kids. Visit Children’s Hospital of Pittsburgh Foundation’s website to:. The job of the physis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow. But reaching and maintaining a healthy weight can spare bones and joints from the excess wear and tear that can weaken and damage them.
Surgery for SCFE is done under general anesthesia when a patient is completely asleep. Surgery for SCFE is done under general anesthesia when a patient is completely asleep.
Slipped capital femoral epiphysis – Wikipedia
Frequent falls due to crossed legs. 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. Retrieved 1 December