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Slipped capital femoral epiphysis is a medical term referring to a fracture through the growth SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be applied at the growth. Palabras clave: epifisiolisis femoral proximal, cadera, no parecen modificar en exceso el mal resultado de epifisiolisis con desplazamiento severo no. Download Citation on ResearchGate | Proximal femoral epiphysiolysis | Purpose. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.

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Slipped capital femoral epiphysis – Wikipedia

Previous article Next article. Retrieved from ” https: A child thought to have SCFE will see an orthopedic doctor, a specialist in the treatment of bones. SCFE is more common in boys, though girls can be affected, too. Whilst it can occur in any child, the major risk factor is childhood obesity. SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects epifisiolissis.

Sometimes SCFE can irritate the nerves that run down the leg, causing referred pain pain that starts in one part of the body but is felt in another. Catching SCFE early makes a big difference in how easily doctors can treat it.

In SCFE, the femoral head of the thighbone slips through the physis, almost the way a scoop of ice cream might slip off a cone.

Slipped capital femoral epiphysis

Kids and teens who are still growing also have a growth plate at the top of the thighbone, just under the “ball” proximwl also known as the femoral head of the joint. Retrieved 30 November Using a fluoroscope — a special X-ray machine that produces a real-time image of the hip on a TV screen — as a guide, the surgeon will make a tiny incision near the hip, then put a metal screw through the bone and peoximal the growth plate to hold it in place.

The disease can be treated with external in-situ pinning or open reduction and pinning. But most cases are in kids between 11 and 16 years old who are going through a growth spurt. Currently, osteosynthesis using a single cannulated screw is the preferred procedure. Subscribe to our Newsletter. The fracture occurs at the hypertrophic zone of the physeal cartilage.


Symptoms Groin pain, referred knee and thigh proximap, waddling gaitrestricted range of motion of leg Usual onset Adolescence Risk factors Obesityhypothyroidism Slipped capital femoral epiphysis SCFE or skiffyepifisiolizis upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.

Children with a SCFE experience a decrease in their range of motion, and are often unable to complete hip epifisiolisia or fully rotate the hip inward. While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present. Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. Stretching is very limited. Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular cartilage chondrolysis because of the tenuous nature of the blood supply.

Continuing navigation will be considered as acceptance of this use. By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment capital femoral epiphysis to the normal distal fragment femoral neck.

The doctor will also take X-rays of the hips to look for any displacement at the head of the thighbone. Print Send to a friend Export reference Mendeley Statistics. Sometimes this happens suddenly — after a fall or sports injury, for example — but often it happens gradually with no prior injury. When SCFE affects one hip, doctors may closely watch the other to see if it develops SCFE; or, if that’s epicisiolisis very likely, they might treat both hips at the same time.

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Slipped Capital Femoral Epiphysis (SCFE)

From Wikipedia, the free encyclopedia. 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.


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Consultation with an orthopaedic surgeon is necessary to repair this problem. Ball-and-socket joints offer the greatest range of movement of all types of joints, which explains why we can move our legs forward, backward, and all around. Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible.

SCFE is associated with a greater risk of arthritis of the hip joint later in life.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain. Stress on the hip causes the epiphysis to move posteriorly and medially. Hip epiphysiolysis of unknown origin is frequent in children and adolescents. Doctors decide how much weight can be placed on the affected leg after surgery based on the severity of the slip. Archives of Disease in Childhood.

This page was last edited on 16 Novemberat No one knows for sure what causes SCFE. SCFE is also more likely in kids who have these risk factors, all of which can affect bone health:. X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. The knee is investigated and found to be normal. In this case, pain begins in the abnormal hip joint but is felt in the normal knee joint.

Therefore the head of the femur is usually pinned ‘as is’. Doctors will continue to order follow-up X-rays to monitor the condition. But reaching and maintaining a healthy weight can spare bones and joints from the excess wear and tear that can weaken and damage them.