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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In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration. Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain.

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Which of the following sequelae is most commonly associated with this injury? Are you a health professional able to prescribe or dispense drugs? Subscriber If you already have your login data, please click here. Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B.

Ankle Fractures – Pediatric

Please vote below and help us build the most advanced adaptive learning platform in medicine. In other projects Wikimedia Commons. The fracture occurs at the hypertrophic zone of the physeal cartilage. Case 2 Case 2. Previous article Next article. Whilst it can occur in any child, the major risk factor is childhood obesity. How would you treat this patient?


Slipped Capital Femoral Epiphysis (SCFE)

Associated with decreased femoral anteversion and decreased femoral neck-shaft angle. Views Read Edit View history. 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.

However, it should not be used as a replacement for a pelvic radiograph. The left hip is more often affected than the right. By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment capital femoral epiphysis to the normal distal fragment femoral neck.


Her parents indicate that outside radiographs were interpreted to be normal. HPI – She has epitisiolisis knock knees since 9 yrs of age. Forceful manipulation is not indicated because it is associated with an increased risk of complications. In general, SCFE is fekoral by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing.


Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. SCFE affects approximately 1—10 perchildren.

Consultation with an orthopaedic surgeon is necessary to repair this problem. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Case 7 Case 7. Case 1 Case 1.

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Salter-Harris classification | Radiology Reference Article |

Knee radiographs, including stress views, are negative. This page was last edited on 16 Novemberat Support Radiopaedia and see fewer ads. Continuing navigation will be considered as acceptance of this use.

Nelson textbook of pediatrics 19th ed. He denies pain in the right leg.

Case 13 Case Frequent falls due to crossed legs. Articles Cases Courses Quiz. Which of the following vessels gives the greatest blood supply to the femoral head?

The history and physical do not reveal any findings concerning for an endocrine disorder.