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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In severe cases, after enough rest the patient may require physical therapy to regain strength and movement back to the leg.
Doctors decide how much weight can be placed on the affected leg after surgery based on the severity of the slip. The fracture occurs at the hypertrophic zone of the physeal cartilage. You can change the settings or obtain more information by clicking here. But in some kids — 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. Hip motion will be limited, particularly internal rotation.
Failure to treat a SCFE may lead to: It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. For specific medical advice, diagnoses, and treatment, consult your doctor.
SRJ is a prestige metric based on the idea that not all citations are the same. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Archives of Disease in Childhood. The knee is investigated and found to be normal. September Pages The risk of reducing this fracture includes the disruption of the blood supply to the bone.
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.
To understand SCFE, it helps to know a little about the hip joint. Subscriber If you already have your login data, please click here. Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral.
Because some patients have a high risk of an SCFE in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet. Slipped capital femoral epiphysis SCFE or skiffyslipped 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.
In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. Catching SCFE early makes a big difference in how easily doctors can treat it. The doctor will also take X-rays of the hips to look for any displacement at the head of the thighbone. The job of the physis is to connect the femoral head to the thighbone while allowing the bone to lengthen and grow.
This page was last edited on 16 Novemberat The screw is placed deep into the bone, and cannot be felt by patients after surgery. Chondropathies Skeletal disorders Rare diseases Medical terminology. Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from November Articles with unsourced statements from January Articles with unsourced statements from July Wikipedia articles with GND identifiers. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Slipped Capital Femoral Epiphysis (SCFE)
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. The hip is a ball-and-socket joint, which means that the rounded end of one bone in this case, the “ball” of the thighbone fits into the hollow of another bone the acetabulum, or cup-shaped “socket” of the pelvis.
Show more Show less. Retrieved from ” https: When SCFE affects one hip, doctors may closely watch the other to see if it develops SCFE; or, if that’s considered very likely, they might treat both hips at the same time. In other projects Wikimedia Commons. Are you a health professional able to prescribe or dispense drugs?
Hip epiphysiolysis of unknown origin is frequent in children and adolescents. If your child is overweight and you need help developing a safe diet and exercise plan, talk to your child’s doctor.
But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.
Slipped Capital Femoral Epiphysis (SCFE) (for Parents)
Obesity is another key predisposing factor in the development of SCFE. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Stretching is very limited.