Cuando un niño tiene SCFE, la cabeza femoral del hueso del muslo se desliza a través de la epífisis, casi de la misma manera en que una bola de helado. Resumen La epifisiolisis de la cabeza femoral (ECF) se describe como el la epífisis (cabeza femoral) respecto a la metáfisis (cuello) a través de la fisis. 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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As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Case 13 Case Synonyms or Alternate Spellings: About Blog Go ad-free.
Epitisiolisis of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Edit article Share article View revision epifsiiolisis. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Case 6 Case 6. Show more Show less. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.
In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. W B Saunders Co. Case 15 Case We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.
Check for errors and try again. SNIP measures contextual citation impact by femorwl citations based on the total number of citations in a subject field.
Hip epiphysiolysis of unknown origin is frequent in children and adolescents. On the AP, a line drawn epidisiolisis the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign. 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. Se continuar a navegar, consideramos que aceita o seu uso.
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. 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. SJR uses a similar algorithm as epifisiolisix Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
However, the dose required for the examination means that it should not be used unless absolutely necessary. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. If a significant deformity is present, then osteotomies and even joint replacement may cabfza required. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder.
Slipped upper femoral epiphysis | Radiology Reference Article |
Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. This item has epufisiolisis. Treatment of the contralateral hip is more controversial.
Case 2 Case 2. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.
Obesity is a significant risk factor. Case 7 Case 7. CiteScore measures average citations received per document published. It represents the superposition of the femoral neck cabza the posteriorly displaced capital epiphysis.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.
Case 5 Epifisio,isis 5. As such prophylactic pinning is recommended by some 3. This is followed by the acute slip which is posteromedial. Continuing navigation will be considered as acceptance of this use. September Pages You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. The metaphysis is displaced laterally and therefore may not overlap posterior lip of the acetabulum as it should normally loss of triangular sign of Capener 5.
Print Send to a friend Export reference Mendeley Statistics. Subscriber If you already have your login data, please click here. Si continua navegando, consideramos que acepta su uso. Fejoral improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior. Previous article Next article. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.
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Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. To quiz yourself on this article, log epifissiolisis to see multiple choice questions.