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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If a significant deformity is present, then caneza and even joint replacement may be required. Check for errors and try again. Articles Cases Courses Quiz. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.

Epifisiolisis by Delfina Crespo on Prezi

As such prophylactic pinning is recommended by some 3. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

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. Case 1 Case 1. Subscriber If you already have your login data, please click here. Case 7 Case 7.


As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. 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.

Si continua navegando, consideramos que acepta su uso. Treatment of the contralateral hip is more controversial.

Continuing navigation will be considered as acceptance of this use. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. To quiz yourself on this article, log in to see multiple choice questions.

Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. Print Send to a friend Export reference Mendeley Statistics.

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. 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. Findings are nonspecific and may include hip joint effusion.

However, the dose required for the examination means that it should not be used unless absolutely necessary. Case 16 Case Case 15 Case In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.

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Also, the axis of the physis alters during growth and moves from being horizontal to being oblique.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.

Slipped upper femoral epiphysis Dr Rohit Sharma and A. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected epifisioliiss.

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

W B Saunders Co. Obesity is a significant risk factor. SRJ is a prestige metric cxbeza on the idea that not all citations are the same. About Blog Go ad-free. Loading Stack – 0 images remaining. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.