Epifisiolisis de La Cabeza Femoral (Spanish Edition): Medicine & Health Science Books @ Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. 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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Ultrasound may be performed in the assessment of hip pain. Gonad protection is usually used in pelvic x-rays of children. Case 1 Case 1.
Hip epiphysiolysis of unknown origin is frequent in children and adolescents. Currently, osteosynthesis using a single cannulated screw is the preferred procedure.
Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Unable to process the form. SRJ is a prestige metric based on the idea that not all citations are the same.
Check for errors and try again. Case 4 Case 4. Show dd Show less. Synonyms or Alternate Spellings: Si continua navegando, consideramos que acepta su uso. Case 7 Case 7. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the caheza results of epiphysiolysis with severe uncorrected displacement. Edit article Share article View revision history. If a significant deformity is present, then osteotomies and even joint replacement may be required.
During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. Loading Stack – 0 images remaining. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. However, it should not be used as a replacement for a pelvic radiograph.
Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. This is followed by the acute slip which is posteromedial.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Read it at Google Books – Find it at Amazon. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head.
MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Case 13 Case Articles Cases Courses Quiz. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.
Support Radiopaedia and see fewer ads. To improve our lw and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Thank you for updating your details. To quiz yourself on this article, log femora, to see multiple choice questions.
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. You can change the settings or obtain more information by clicking here.
Case 2 Cabezza 2. Previous article Next article.
In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Case 16 Case Obesity is a significant risk factor. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Hospital Universitario Central de Asturias. Se continuar a navegar, consideramos que aceita o seu uso.
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Slipped upper femoral epiphysis | Radiology Reference Article |
Multiplane reconstruction allows assessment of the relationship of the epifisiolisjs head to the metaphysis in three planes. Subscribe to our Newsletter. Slipped upper femoral epiphysis Dr Rohit Sharma and A.
As such prophylactic pinning is recommended by some 3.