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

Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this ditsal is appropriate for? Print Send to a friend Export reference Mendeley Statistics.

When the slip is evident, and no secondary femorap changes are present, then the diagnosis is usually readily made. Subscribe to our Newsletter. It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view. She has mild swelling over the ankle with no neurovascular deficit and soft compartments throughout the lower extremity. The risk of reducing this fracture includes the fempral of the blood supply to the bone.

The term slipped capital femoral epiphysis is actually a misnomerbecause the epiphysis end part of a bone remains in its normal anatomical position in the acetabulum hip socket due to the ligamentum teres femoris.


SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. He denies pain in the right leg. Pediatric Orthopaedic Society of North America.


L8 – 10 years in practice. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. The history and physical do not reveal any findings concerning for an endocrine disorder.

Usually, a SCFE causes groin pain, epifisiokisis it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve.

The disease can be treated with external in-situ pinning or open reduction and pinning. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e.

Signs of a SCFE include a waddling gaitdecreased range of motion. Se continuar a navegar, consideramos que aceita o seu uso. How important is this topic for board examinations? Treatment of the epifisioolisis hip is more controversial. HPI – Twisting injury of left ankle while playing football. The knee is investigated and found to be normal. What is the best management option? Loder Classification — based on ability to bear weight. Consultation with an orthopaedic surgeon is necessary fmeoral repair this problem.

Prevalence, Pathogenesis, and Natural History”. In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration.


National Institute of Health. SCFE is associated with a greater risk of arthritis of the hip joint later in life. Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B.

Clinical Orthopaedics and Related Research. Thank you for rating! A dressing covers the wound. L6 – years in practice. Retrieved 30 November L7 – years in practice. Chondropathies Skeletal disorders Rare diseases Medical terminology. AP pelvis radiograph is shown in Figure A. About Blog Go ad-free. Please vote below and help us build the most advanced adaptive learning platform in medicine. One in five cases involve both hips, resulting in pain on both sides of the fe,oral. Physical examination reveals external rotation of the extremity with hip flexion.

Is the closed reduction acceptable? Stress around the hip causes a shear force to be applied at the growth plate.

Tillaux Fractures – Pediatrics – Orthobullets

Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. SCFE affects approximately 1—10 perchildren. Symptoms that persist for less than 3 weeks.

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