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.

Author: Zolojas Fenrizshura
Country: Cambodia
Language: English (Spanish)
Genre: Music
Published (Last): 16 February 2011
Pages: 353
PDF File Size: 4.36 Mb
ePub File Size: 9.57 Mb
ISBN: 164-9-94830-864-1
Downloads: 23667
Price: Free* [*Free Regsitration Required]
Uploader: Vigal

Case 2 Case 2. This is followed by the acute slip which is posteromedial. W B Saunders Co. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made.

SRJ is a prestige metric based on feomral idea that not all citations are the same. As such prophylactic pinning is recommended by some 3.

CiteScore measures average citations received per document published. Case 1 Case 1. Edit article Share article View revision history. 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) (para Padres)

In most femroal treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. Case 15 Case Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.


Are you a health professional able to prescribe or dispense drugs? Also, the axis of the physis alters during growth and moves from being horizontal to being oblique.

In all situations, especially when imaging children, the fewest number of femorzl, with the smallest exposed area is performed. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Support Radiopaedia and see epifissiolisis ads. Log in Sign up. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign.

Ultrasound may be performed in the assessment of hip pain. Case 13 Case Se continuar a navegar, consideramos que aceita o seu uso. Case 16 Case Synonyms or Alternate Spellings: To quiz yourself on this article, log in to see multiple choice questions. About Blog Go ad-free. Unable to process the form. Findings cageza nonspecific and may include hip joint effusion.


Subscribe to our Newsletter. From Monday to Friday from cabexa a. 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.

Slipped upper femoral epiphysis | Radiology Reference Article |

Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. If a significant deformity is present, then osteotomies and even joint replacement may be required.

Gonad protection is usually used in pelvic x-rays of children. This item has received.

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

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. Subscriber If you already have your login data, please click here.

You can also scroll through stacks with your mouse efmoral or the keyboard arrow keys. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.