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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Grading System — based on percentage of slippage. Case 16 Case SCFEs are most common in adolescents 11—15 years of age,  and affects boys more frequently than girls male 2: Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.
SCFE affects approximately 1—10 perchildren. Subscriber If you already have your login data, please click here. 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. Forceful manipulation is not indicated because it is associated with an increased risk of complications. Case 4 Case 4.
L6 – years in practice.
Sanz ReigR. Edit article Share article View revision history. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? Femora, 7 Case 7. This is followed by the acute slip which is posteromedial. Are you a health professional able to prescribe or dispense drugs? Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Radiographs are shown in Figures A and B.
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Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets
L6 – years in practice. Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration.
What is the best management option? Which of the following vessels gives the greatest blood supply to the femoral head? It is therefore is more easily seen on epifissiolisis frog-leg lateral view rather than the AP hip view.
Retrieved from ” https: The disease can be treated with external in-situ pinning or open reduction and pinning. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially diistal the pain.
On physical examination she has restricted hip flexion motion, an external rotation deformity, and obligatory external rotation upon hip flexion manuevering.
What is the next step in management? Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. Findings are nonspecific and femotal include hip joint effusion. W B Saunders Co. Case 13 Case In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna.
Slipped capital femoral epiphysis
The fracture occurs at the hypertrophic zone of the physeal cartilage. Also, the axis of the physis alters during ditsal and moves from being horizontal to being oblique. Case 6 Case 6. Slipped upper femoral epiphysis Dr Rohit Sharma and A. The diagnosis requires x-rays of the pelvis, with anteriorposterior AP and frog-leg lateral views.
What is the most common limb length and rotational profile found as a sequelae of this condition? HPI – Twisting injury 4 hours ago No prior pain or history of trauma. Her radiographs are shown in Figures A and B. Eoifisiolisis Send to a friend Export reference Mendeley Statistics. One in five cases involve both hips, resulting in pain on both sides of the body. Groin pain, referred knee and thigh pain, waddling gaitrestricted range temoral motion of leg.
The risk of reducing this fracture includes the disruption of the blood supply to the bone. From Wikipedia, the free encyclopedia. American Academy of Orthopaedic Surgeons. He is treated with surgical intervention and post-operative radiographs are shown in Figures B and C. Symptoms that persist for less than 3 weeks. Failure to treat a SCFE may lead to: