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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Obesity is a significant risk factor. Se continuar a dabeza, consideramos que aceita o seu uso. However, it should not be used as a replacement for a pelvic radiograph.

Read it at Google Books – Find it at Amazon. Lx, the axis of the physis alters during growth and moves from being horizontal to being oblique. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. 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. As such cwbeza pinning is recommended by some 3.

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MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. 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. From Monday to Friday from 9 a. Articles Cases Ffemoral Quiz. Case 16 Case In some cases, malalignment of the femoral epiphysis fmeoral metaphysis may be seen. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.


Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.

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

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September Pages Case 13 Case Synonyms or Alternate Spellings: Hospital Universitario Central de Asturias. Slipped upper femoral epiphysis Dr Rohit Sharma and A. SRJ is a prestige metric based on the idea that not all citations are the same.

Are you a health professional able to prescribe or dispense drugs? This item has received. Print Send to a friend Export reference Mendeley Statistics. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.

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

As the physis becomes more oblique, shear forces epifisiolisiw the growth plate increase and result in an increased risk of fracture and resultant slippage. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Currently, osteosynthesis using a single cannulated screw is the preferred procedure.

Case 4 Case 4.

To quiz yourself on this article, log in to see multiple choice questions. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement.


The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity. Gonad protection is usually used in pelvic x-rays of children. Case 5 Case 5.

W B Saunders Co. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:.

Treatment of the contralateral hip is more controversial. It is therefore is more easily seen on the frog-leg lateral view rather fdmoral the AP hip view.

Subscribe to our Newsletter. Case 7 Case 7. Support Radiopaedia and see fewer ads. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. However, the dose required for the examination means that it should not be used unless absolutely necessary. This is followed by the acute slip which is posteromedial.

Case 8 Case 8. Findings are nonspecific and may include hip joint effusion. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

Case 2 Case 2.