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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Case 7 Case 7. Treatment of the contralateral hip is more controversial. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. Print Send to a friend Export reference Mendeley Statistics.
In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.
Check for errors and try again. Case 2 Case 2. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Unable to process the form. You can change the settings or obtain more information by clicking here. Gonad protection is usually used in pelvic x-rays of children. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Subscriber If you already have your login data, please click here.
Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. In the pre-slip phase, there is cabezs widening of the growth plate with irregularity and blurring of the physeal edges and demineralisation of the metaphysis.
Slipped upper femoral epiphysis | Radiology Reference Article |
Case 13 Case It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. As such prophylactic pinning is recommended by some 3. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Thank you for updating your details.
Case 15 Case Case 4 Case 4. Case 5 Case 5.
The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.
Loading Stack – 0 images remaining. From Monday to Friday from 9 a. Continuing navigation will be considered as acceptance of this use. Synonyms or Alternate Spellings: Case 16 Case Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. Marrow edema is non-specific, and while it ls indicate early bone changes in SUFE, there are numerous femotal causes, e.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. W B Saunders Co. If a significant deformity is present, then osteotomies and even joint replacement may be required. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. SRJ is csbeza prestige metric based on the idea that not all epifisiolisix are the same. 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 1 Case 1. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. Support Radiopaedia and see fewer ads.
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.