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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.

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Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Loading Stack – 0 images remaining. Case 5 Case 5.

It is therefore is more easily seen on the frog-leg lateral view rather caebza the AP hip view. Log in Sign up. Treatment of the contralateral hip is more controversial. Case 15 Case Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. From Monday to Friday from 9 a. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.

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MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. In all femmoral, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.

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When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. Read it at Google Books – Find it at Amazon. Show more Show less. Continuing navigation will be considered as acceptance of this use. Thank you for updating your details. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify fmeoral poor results of epiphysiolysis with severe uncorrected displacement.

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 epitisiolisis.

However, it should not be used as a replacement for a pelvic radiograph. On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect remoral epiphysis during the acute phase Trethowan sign.

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

It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Findings are nonspecific and may include hip joint effusion.

Print Send to a friend Export reference Mendeley Statistics. SRJ is a prestige metric based on the idea that not all citations are the same. To quiz yourself on this article, log in to see multiple choice questions. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Case 8 Case 8. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Case 1 Case 1.


Case 13 Case Articles Cases Courses Quiz. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:.

Epifisiolisis by Delfina Crespo on Prezi

In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. As such prophylactic pinning is recommended by some 3. This item has received. During growth, there is a widening of the physeal plate which is feomral pronounced during a growth spurt.

The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Case 6 Case 6. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. September Pages Case 2 Case 2.

Currently, osteosynthesis using a single cannulated screw is the preferred procedure.