Epifisiolisis de La Cabeza Femoral (Spanish Edition): Medicine & Health Science Books @ Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. 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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In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. As such prophylactic pinning is recommended by some 3.
When the slip is evident, and no secondary degenerative changes are present, then epifisilisis diagnosis is usually readily made.
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It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Continuing navigation will be considered as acceptance of this use.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
To quiz yourself on this article, log in to see multiple choice questions. Articles Cases Courses Quiz. However, it should not be used as a replacement for a pelvic radiograph. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt.
The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. Edit article Share article View revision history. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique.
In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. The metaphysis is displaced laterally and therefore may not overlap posterior lip of the acetabulum as it should normally loss of triangular sign of Capener 5.
Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of epifisiokisis Ultrasound may be performed in the assessment of hip pain. September Pages Previous article Next article. 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. You can change the settings or obtain more information lw clicking here.
Treatment of the contralateral hip is more controversial. As the physis becomes more oblique, shear forces across df growth plate increase and result in an increased risk of fracture and resultant slippage. Case 8 Case 8. Si continua navegando, consideramos que acepta su uso. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Read it at Google Books – Find it at Amazon. 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.
More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. This is followed by the acute slip which is posteromedial. It is therefore is more easily epifiisolisis on the frog-leg lateral view rather than the AP hip view. Print Send to a friend Export reference Mendeley Statistics. W B Saunders Co. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.
However, the dose required for the examination means that it should not be used unless absolutely necessary.
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. Obesity is a significant risk factor. Case 4 Case 4. Case 13 Case About Blog Go ad-free. Findings are nonspecific and may include hip joint effusion. Se continuar a navegar, consideramos que aceita o seu uso.
You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Subscribe to our Newsletter. Show more Show less.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
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Case 2 Case 2. Synonyms or Alternate Spellings: Unable to process the form.