en españolDeslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis). A good, stable connection at the hip joint is what lets us walk, run, jump, and many . En algunos niños, particularmente en los que son obesos, el hueso del muslo y el de la cadera no están conectados como deberían debido a una afección. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.

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Radiographs are shown in Figures A and B.

National Library of Medicine. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role.

He is now unable to place weight on the left lower extremity, even with the assistance of crutches. But fpifisiolisis can also happen gradually, with no previous injury.

Radiographs are taken and shown in Figures A and B.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

fmoral The left hip is more often affected than the right. Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. Sometimes this happens suddenly — after a fall or sports injury, for example.


Case 13 Case Sometimes this happens suddenly — after a fall or sports injury, for example. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.

Visit Children’s Hospital of Pittsburgh Foundation’s website to:. Case 7 Case 7. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. Ffmoral, when recognized early, most cases of SCFE can be treated successfully. All information is for educational purposes only. Articles Cases Courses Quiz.

SCFEs are most common in adolescents 11—15 years of age, [7] and affects boys more frequently than girls male 2: Consultation with an orthopaedic surgeon is necessary to repair this problem. Not everyone can prevent SCFE. Though the name’s quite a mouthful, it simply refers to a shift at the upper part of the thighbone, or femur, that results in a weakened hip joint.

Visit Children’s Hospital of Pittsburgh Foundation’s website to: He denies pain in the right leg. Which of feemoral following figures accurately represents the method used to determine the radiographic severity epifisoolisis the epiphyseal slip and help guide treatment?

Slipped capital femoral epiphysis

They’re also more likely to require additional surgery to epifisjolisis care of their hip. This type of pain is called referred painwhich means pain starts in one part of the body but is felt in another part.


Views Read Edit View history. The initial radiograph is shown in Figure A.

Physical examination reveals external rotation of the extremity with hip flexion. The screw is placed deep into the bone, and can’t be epifisillisis by patients after surgery.

Sometimes SCFE can irritate the nerves that run down the leg, causing referred pain pain that starts in one part of the body but is felt in another. Kids and teens also have a growth plate at the top of the thighbone femurjust under the “ball” portion of the joint. She has 2 years of activity-related left hip pain and pain with prolonged sitting.

Slipped Capital Femoral Epiphysis (SCFE) (for Parents)

Doctors decide how much weight can be placed on the affected leg after surgery based on the severity of the slip. Which of the following is associated with the radiographic abnormality seen in Figure B? It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.