June 28, 2019 posted by

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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Treatment of the contralateral hip is more controversial.

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

Support Radiopaedia and see fewer ads. Case 5 Case 5.

Slipped upper femoral epiphysis Dr Rohit Sharma and A. Synonyms or Alternate Spellings: Subscribe to our Newsletter. Case 4 Case 4. Findings are nonspecific and may include hip joint effusion. September Pages Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.


W B Saunders Co. This is followed by the acute slip which is posteromedial. 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. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder.

Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Case 7 Case 7. The metaphysis is displaced laterally and therefore may not overlap posterior lip of the acetabulum as it should normally loss of triangular sign of Capener 5.

Case 2 Case 2. To quiz yourself on this article, log in to see multiple choice questions. 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.

Hospital Universitario Central de Asturias.

However, it should not be used as a replacement for a pelvic radiograph. Read it at Google Books – Find it at Amazon.

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Epifisiolisis by Delfina Crespo on Prezi

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 cabezza with severe uncorrected displacement.


Currently, osteosynthesis using a single cannulated screw is the preferred procedure. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e.

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In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.