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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Ankle Fractures – Pediatric

Failure to treat a SCFE may lead to: What is the next step in management? Log in Sign up. Subscribe to our Newsletter. In severe cases, after enough rest the patient may require physical therapy to regain strength and movement back to the leg.

What is the most common limb length and rotational profile found as a sequelae of this condition? Retrieved from ” https: However, the dose required for the examination means that epifisioisis should not be used unless absolutely necessary.

Findings are nonspecific and may include hip joint effusion. She has no complains in the hips. Nelson diztal of pediatrics 19th ed. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain. A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into the head of the femur.


Her radiographs are shown in Figures A and B. L7 – years in practice. He denies pain in the right leg. Pinning the unaffected side prophylactically is not disstal for most patients, but may be appropriate if a second SCFE is very likely.

Case 1 Case 1.

He is now unable to place weight on the left lower extremity, even with the assistance of crutches. Thank you for updating your details. It has been shown in the past that attempts to correct the slippage by moving the head back into its correct position can cause the bone to die.

Treatment of the contralateral hip is more controversial. SCFE is the most common hip disorder in adolescence. Grading System — based on percentage of slippage. Slipped upper femoral epiphysis Dr Rohit Sharma and A. Abnormal movement along the growth plate results in the slip. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.

Almost all cases require surgery, which usually involves the placement of one or two pins into the femoral head to prevent further slippage. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Case 16 Case Case 7 Case 7. This page was last edited on 16 Novemberat L6 – years in practice.

Journal of Pediatric Orthopaedics. Subscriber If you already have your login data, please click here. 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.


Slipped capital femoral epiphysis

L8 – 10 years in practice. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views. This item has received. The disgal is investigated and found to be normal. SCFE is associated with a greater risk of arthritis of the hip joint later in life. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Bernese periacetabular osteotomy with extension, external rotation, and valgus-producing femoral osteotomy.

Consultation with an orthopaedic surgeon is necessary to repair this problem.

Salter-Harris classification | Radiology Reference Article |

A reduction maneuver is attempted under conscious sedation but fluoroscopic images are unchanged. The history and physical do not reveal any findings concerning for an endocrine disorder. Lizaur UtrillaE. Case 5 Case 5. Please login to add comment. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.

Pediatric Orthopaedic Society of North America. Continuing navigation will be considered as acceptance of this use. Stress around the hip causes a shear force to be applied at the growth plate.

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