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.

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Case 1 Case 1.

Slipped upper femoral epiphysis | Radiology Reference Article |

Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular caital chondrolysis because of the tenuous nature of the blood supply. Gonad protection is usually used in pelvic x-rays of children. Doctors will continue to order follow-up X-rays to monitor the condition. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

In rare cases, the X-rays will come back normal, but the pain, stiffness, and other problems will still be there. Sometimes this happens suddenly — after a fall or sports injury, for example femiral but epifksiolisis it happens gradually with no prior injury. A stable SCFE usually causes the person to limp and walk with the foot turned outward. Provides prognostic information for complication of femoral head osteonecrosis. Tell us what you think about our website – send an email to webmaster chp.

Case 5 Case 5. The job of the epifissiolisis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow.


Stress around the hip causes a shear force to be applied at the growth plate. 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. To make an appointmentplease call PEDS from 7 a. The initial radiograph is shown in Figure A. To understand SCFE, it helps to know a little about the hip joint.

His radiographs are shown in Figures A and B. He is treated with surgical intervention and post-operative radiographs are shown in Figures B and C.

Slipped capital femoral epiphysis

In these cases, a magnetic resonance imaging study MRI might be ordered. If a doctor epifisoolisis you may have SCFE you’ll need to see an orthopedic doctor epifisoolisis doctor who specializes in the treatment of boneswho will do a physical exam, checking the range of motion of the hips and legs and seeing if there is any pain.

Maintaining a healthy weight can go a long way in sparing your bones and joints from the excess wear and tear that can weaken and damage them. Unable to process the form.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

How epifisiopisis you treat this patient? Using a fluoroscope epifisio,isis a special X-ray machine that produces a real-time image of the hip on a TV screen — as a guide, the surgeon makes a tiny incision near the hip, then puts a metal screw through the bone and across the growth plate to hold it in place.

They’re also more likely to require additional surgery to take care of the hip. Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy.

Ultrasound may be performed in the assessment of hip pain. A good, stable connection at the hip joint is what lets us walk, run, epifisiolisls, and many other things. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.


To understand SCFE, it helps to know a little about the hip joint. Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. No one knows for sure what causes SCFE. He denies pain in the right leg. What’s in this article? An unstable SCFE is very serious because it can restrict blood flow to the hip joint.

For specific medical advice, diagnoses, and treatment, consult your doctor.

For general information and inquiresplease call In rare cases, X-rays will come back normal, but the pain, stiffness, and other problems will still be there. Her radiograph is shown in Figure A.

Slipped Capital Femoral Epiphysis (SCFE)

Cpaital one knows for sure what causes SCFE. She has 2 years of activity-related left hip pain and pain with prolonged sitting. Share a comment, compliment or concern. Journal of Pediatric Orthopaedics. Whilst it can occur in any child, the major risk factor is childhood obesity. But it can also happen gradually, with no previous injury. But in some teens — 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.