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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Treatment of the contralateral hip is more controversial.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Findings are nonspecific and may include hip joint effusion. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.
Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. CiteScore measures average citations received per document published.
During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder.
Slipped upper femoral epiphysis | Radiology Reference Article |
Currently, osteosynthesis using a single cannulated screw is the preferred procedure. Also, epifissiolisis axis of the physis alters during growth and moves from being horizontal to being oblique.
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. Case 15 Case Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree femoraal slippage: 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.
It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view. Are you a health professional able to prescribe or dispense drugs? As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Se continuar a navegar, consideramos que aceita o seu uso.
MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Case 6 Case 6. Ultrasound may be performed in the assessment of hip pain.
Log in Sign up. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. September Pages In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Case 2 Case 2. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.
Slipped upper femoral epifisiooisis Dr Rohit Sharma and A. W B Saunders Co. Loading Stack – 0 images remaining. However, the dose required for the examination means that it should not be used unless absolutely necessary.
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Case 8 Case 8. Read it at Google Books – Find it at Amazon. Case 4 Case 4.