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.
|Published (Last):||20 September 2016|
|PDF File Size:||8.82 Mb|
|ePub File Size:||9.96 Mb|
|Price:||Free* [*Free Regsitration Required]|
Retrieved 1 December Ball-and-socket joints offer the greatest range of movement of all types of joints, which explains why we can move our legs forward, backward, and all around. But in some kids — particularly those who are obese — the thighbone and the hipbone are a little less well connected than they should be because of a condition called slipped capital femoral epiphysis SCFE. Sometimes SCFE can irritate the nerves that run elifisiolisis the leg, causing referred pain pain that starts in one part of the body but is felt in another.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
When SCFE affects one hip, doctors may closely watch the other to see if it develops SCFE; or, if that’s considered very likely, they might frmur both hips at the same time. SCFE is always treated with surgery to stabilize the growth plate that slipped.
Often the range of motion in the hip is restricted in internal rotationabductionand flexion. But most cases are in kids between 11 and 16 years old who are going through a growth spurt. A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. Whilst it can occur in any child, the major risk factor is childhood obesity.
Subscriber If you already have your login data, please click here.
SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females. In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing.
Most kids do well when SCFE is caught and treated early. However, kids with unstable SCFEs have a greater chance of developing other problems later, such as stiff hips, early arthritis, leg length differences, or avascular necrosis where part of the “ball” dies from lack of blood supply. While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present.
A child thought to have SCFE will see an orthopedic doctor, a specialist in the treatment of bones. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head.
Symptoms Groin pain, referred knee and thigh pain, waddling 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 term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.
Catching SCFE early makes a big difference in how easily doctors can treat it. From Monday to Friday from 9 a.
SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. One in five cases involve both hips, resulting in pain on both sides of the body.
No one knows for sure what causes SCFE. If your child is overweight and you need help developing a safe diet and exercise plan, talk to your child’s doctor.
More on this topic for: SCFE is associated with a greater risk of arthritis of the hip joint later in life. In these cases, a magnetic resonance imaging study MRI might be ordered.
A dressing covers the wound. SCFE is also more likely in kids who have these risk factors, all of which can affect bone health:. But reaching and maintaining a healthy weight can spare bones and joints from the excess wear and tear that can weaken and damage them.
The doctor will also take X-rays of the hips to look for any displacement at the head of the thighbone. Subscribe to our Newsletter. Retrieved 30 November Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. The job of the physis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow. Nelson textbook of pediatrics 19th ed.
Slipped Capital Femoral Epiphysis (SCFE)
Archives of Disease in Childhood. Print Send to a friend Export reference Mendeley Statistics. Sometimes this happens suddenly — after a fall or sports injury, for example — but often it happens gradually with no prior injury. SCFE is prodimal shift epidisiolisis the upper part of the thighbone, or femur, that results in a weakened hip joint.
Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. Using a fluoroscope — a special X-ray machine that produces a real-time image of the hip femuur 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.
This item has received. Si continua navegando, consideramos que acepta su uso. In this case, pain begins in the abnormal hip joint but is felt in the normal knee joint.
Slipped capital femoral epiphysis – Wikipedia
Journal of Pediatric Orthopaedics. Are you a health professional able to prescribe or dispense drugs? 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.
Previous article Next article. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
Clinical Orthopaedics and Related Research. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. A good, stable connection at the hip joint is what lets us walk, run, jump, and many other things. National Library of Medicine.
Prevalence, Pathogenesis, and Natural History”.