Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. nightstick fracture. wrist. distal radial fracture distal phalanx fracture · Jersey finger · mallet femoral. Winquist classification (femoral shaft fracture). knee. Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice.

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L6 – years in practice. Read it at Google Books – Find it at Amazon. Please vote below and help us build the most advanced adaptive learning platform in medicine. Radiographs are taken and shown in Figures A and B.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

Consultation with an orthopaedic surgeon is necessary to repair this problem. SCFE is associated with a greater risk of arthritis epifiskolisis the hip joint later in life.

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. Which of the following figures accurately represents the method used to determine the radiographic severity of the epiphyseal slip and help guide treatment?

In femorral, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. SCFEs usually cause groin pain on the affected side, but sometimes cause knee or thigh pain.


Se continuar a navegar, consideramos que aceita o seu uso. Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg. This video briefly explain the etiologic factors that causes hip pain in child.

During growth, there is a widening of the physeal plate which is particularly pronounced epifiskolisis a growth spurt.

Slipped upper femoral epiphysis | Radiology Reference Article |

Case 4 Case 4. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. From Wikipedia, the free encyclopedia. L8 – 10 years eifisiolisis practice.

Ankle Fractures – Pediatric

L7 – years in practice. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. Grading System — based on percentage of slippage.

She has 2 years of activity-related left hip pain and pain with prolonged sitting. Core Tested Community All. Which of the epifsiiolisis sequelae is most commonly associated with this injury? Provides prognostic information for complication of femoral head osteonecrosis.

Failure to treat a SCFE may lead to: To 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. This page was last edited on 16 Novemberat The knee is investigated and found to be normal.


In a chronic slip, the physis becomes sclerotic femofal the metaphysis widens coxa magna. Children with a SCFE experience a decrease in their range of motion, and are often unable to complete hip flexion or fully rotate the hip inward.

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Support Radiopaedia and see fewer ads. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip femogal includes:. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Core Tested Community All. Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve.

Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

Thank you for updating your details. How important is this topic for board examinations? Subscribe to our Newsletter. The initial radiograph is shown in Figure A. One in five cases involve both hips, resulting in pain on both sides of the body. L6 – years vistal practice.