Arch Chir Neerl. ; THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS. BOUMAN FG. PMID: ; [Indexed for MEDLINE]. Ugeskr Laeger. Feb 26;(9) [Delayed diagnosis of epiphysiolysis capitis femoris]. [Article in Danish]. Søballe K(1), Juhl M, Høgh JP. Z Orthop Ihre Grenzgeb. Nov-Dec;(6) [“Recurrent” epiphysiolysis capitis femoris–need for simultaneous stabilization of both hip joints].

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Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser epiphysioljsis. The initial radiograph is shown in Figure A. This disorder was found by Ochsner et al. 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.

Edit article Share article View epipgysiolysis history. Case 8 Case 8. Closed reduction and pinning with multiple cannulated screws in an inverted triangle configuration.

SCFEs are most common in adolescents 11—15 years of age, [7] and affects boys more frequently than girls male 2: Synonyms or Alternate Spellings: A dressing covers the wound. Hip motion will be limited, particularly internal rotation. Expert curators review the literature and organize it to facilitate your work.

Obesity is a significant risk factor. Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular cartilage chondrolysis because of the tenuous nature of the blood supply. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis.



Bericht ueber eine Familie mit 10 Faellen. How important is this topic for board examinations? His pain has significantly worsened over the past week. Support Radiopaedia and see fewer ads. He is now unable to place weight on the left lower extremity, even with the assistance of crutches.

American Academy of Orthopaedic Surgeons. Groin pain, referred knee and thigh pain, waddling gaitrestricted range of motion of leg. Pediatric Orthopaedic Society of North America. Ultrasound may be performed in the assessment of hip pain. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

Rennie observed 12 children or adolescents with slipped upper femoral epiphysis and a close relative with the same. Case 5 Case 5. Male-to-male transmission was noted.

Retrieved 30 November Physical examination reveals external rotation of the extremity with femorris flexion. Therefore the head of the femur is usually pinned ‘as is’.

Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this late in childhood, the supply is tenuous and frequently lost after the fracture occurs.

Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in this condition? In general, SCFE is caused by increased force applied across the epiphysis, or a decrease in the resistance within the physis to shearing. He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side. What is next best step in management?


Clinical examination of the hips should be undertaken in any child who complains of pain in the knee or thigh. Articles Cases Courses Quiz. Log in Sign up.

However, the dose required for the examination means that it should not be used unless absolutely necessary. Two additional patients had a parent with osteoarthritis of the hip. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Infobox medical condition new All articles with unsourced statements Articles with unsourced statements from November Articles with unsourced statements from January Articles with unsourced statements from July Wikipedia articles with GND identifiers.

Case 6 Case 6.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

Journal of Pediatric Orthopaedics. Stress on the hip causes the epiphysis to move posteriorly and medially. OMIM is intended for use primarily by physicians and other professionals concerned with genetic disorders, by genetics researchers, and by advanced students in science and medicine. Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy.

Stress around the hip causes a shear force to be applied at the growth plate.