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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As such prophylactic pinning is recommended by some 3. One in five cases involve both hips, resulting in pain on femorl sides of the body. Case 4 Case 4. CiteScore measures average citations received per document published.

What is the next best step in management? Pediatric Orthopaedic Society of North America. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. The diagnosis is a combination of clinical suspicion plus radiological investigation. Subscriber If you already have your login data, please click here. What is the next step in management?

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

He does not have a history of kidney disease. Temporal Classification — based on duration of symptoms; rarely used; no prognostic information.

He is treated with surgical intervention and post-operative radiographs are shown in Figures B and C. Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser osteotomy.

Her radiograph is shown in Figure A. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. Sanz ReigR.


Findings are nonspecific and may include hip joint effusion. Lizaur UtrillaE. Slipped distak femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. Epifisiolsiis of Disease in Childhood. Radiographs recommended views AP mortise lateral optional views full-length tibia or proximal tibia to rule out Maisonneuve-type fracture CT scan indications assess fracture displacement best obtained post-reduction assess articular step-off preop planning.

You can change the settings or obtain more information by clicking here. Se continuar a navegar, consideramos que aceita o seu uso. In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration.

SRJ is a prestige metric based on the idea that not all citations are the same. However, it should not be used as a replacement for a pelvic radiograph. Forceful manipulation is not indicated because it is associated with an increased risk of complications. Radiographs are shown in Figures A and B.

Gonad protection is usually used in pelvic x-rays of children. Stress on the hip causes the epiphysis to move posteriorly and medially. Slipped upper femoral epiphysis Dr Rohit Sharma and A.

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Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. 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.

Obesity is a significant risk factor. Obesity is another key predisposing factor in the development of SCFE. Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are dpifisiolisis in Figure B. Bernese periacetabular osteotomy with extension, external rotation, and valgus-producing femoral osteotomy.


Slipped capital femoral epiphysis – Wikipedia

Please vote below and help us build the most advanced adaptive learning platform in medicine. On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign. How important is this topic for clinical practice? Views Read Edit View history. Case 15 Case National Library of Medicine. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis.

Case 2 Case 2. Retrieved 1 December Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis.

How important is this topic for board examinations? Case 13 Case Case 1 Case 1.


Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. National Institute of Health.

L8 – 10 years in practice.