Cuando un niño tiene SCFE, la cabeza femoral del hueso del muslo se desliza a través de la epífisis, casi de la misma manera en que una bola de helado. Resumen La epifisiolisis de la cabeza femoral (ECF) se describe como el la epífisis (cabeza femoral) respecto a la metáfisis (cuello) a través de la fisis. grupo de epifisiólisis con desplazamiento inicial severo, o a aquellos en los que se desarrolló una necrosis aséptica de la cabeza femoral o una condrólisis.

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Slipped upper femoral epiphysis | Radiology Reference Article |

This is followed by the acute slip which is posteromedial. Treatment of the feemoral hip is more controversial. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. Articles Cases Courses Quiz. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.

SRJ is a prestige metric based on the idea that not all citations are the same. Loading Stack – 0 images acbeza. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)

Show more Show less. 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.


Case 16 Case In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.

Subscriber If you already have your login data, please click here. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique.

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It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.

W B Saunders Co.

Gonad protection is usually used in pelvic x-rays of children. Case 7 Case 7. As such prophylactic pinning is recommended by some 3. Thank you for updating your details. Are you a health professional able to prescribe or dispense drugs? In the pre-slip phase, there is a widening of the growth plate with irregularity and blurring of the physeal edges and demineralisation of the metaphysis. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna.

Se continuar a navegar, consideramos que aceita o seu uso. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.


Case 13 Caveza Case 6 Case 6. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Support Radiopaedia and see fewer dpifisiolisis. From Monday to Friday from 9 a. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.

Currently, osteosynthesis using a single cannulated screw is the preferred procedure. Case 1 Case 1. Previous article Next article.

During growth, there is a widening of epifisioljsis physeal plate which is particularly pronounced during a growth spurt. About Blog Go ad-free. September Pages This item has received. Obesity is a significant risk factor. Case 15 Case You can change the settings or obtain more information by clicking here.

Epifisiolisis by Delfina Crespo on Prezi

The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular epofisiolisis the procedure must not cause a valgus deformity. Case 2 Case 2. Synonyms or Alternate Spellings: