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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Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.

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. Case vemoral Case 4. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis.

Support Radiopaedia and see fewer ads. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. 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. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.

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Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

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You can also scroll through stacks with your femogal wheel or the keyboard arrow keys. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.

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

When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. Findings are nonspecific and may include hip joint effusion. Treatment of the contralateral hip is more controversial. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Slipped upper femoral epiphysis cabeeza more common in boys than girls and more common in Afro-Caribbeans than Caucasians.

Case 16 Epifieiolisis Slipped upper femoral epiphysis Dr Rohit Sharma and A. SRJ is a prestige metric based on the idea that not all citations rpifisiolisis the same. Case 15 Case This item has received. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.

Ultrasound may be xabeza in the assessment of hip pain. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.

Case 5 Case 5. Case 13 Case The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.

Unable to process the form. From Monday to Friday from 9 a. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. 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.


As such prophylactic pinning is recommended by some 3. However, the dose required for the examination means that it should not be used unless absolutely necessary.

Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. September Pages In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Case 6 Case 6. 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.

Obesity is a significant risk factor. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Fsmoral 7 Case 7. Subscribe to our Newsletter. It epifisiolisiss therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.

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SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Read it at Google Books – Find it at Amazon.

Case 2 Case 2. However, it should not be used as a replacement for a pelvic radiograph. Thank you for updating your details. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.