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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Case 5 Case 5. Hospital Universitario Central de Asturias. Si continua navegando, consideramos que acepta su uso.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

However, the dose required for the examination means that it should not be used unless absolutely necessary.

Case 7 Case 7. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity. From Monday to Friday from 9 a. Synonyms or Alternate Spellings: SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.

Case 15 Case September Pages More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. As such prophylactic pinning is recommended by some 3. Continuing navigation will be considered as acceptance of this use. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head.


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. Check for errors and try again. Thank you for updating your details. Case 2 Case 2.

Epifisiolisis by Delfina Crespo on Prezi

About Blog Go ad-free. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. This is followed by the acute slip which is posteromedial.

Loading Stack – 0 images remaining. Obesity is a significant risk factor.

Epifislolisis is a point of controversy whether the orthopedic surgeon should act to correct this disorder. Unable to process the form. 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. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique.

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

Are you a health professional able to prescribe or dispense drugs? Case 16 Case We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.

It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. Subscribe to our Newsletter.


Log in Sign up. Se continuar a navegar, consideramos que aceita o seu uso. You can also scroll through stacks with your mouse wheel or the keyboard epiisiolisis keys. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made.

Case 1 Case 1. Subscriber If you already have your login data, please click here. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.

Support Radiopaedia and see fewer ads. Marrow edema is non-specific, and while it may indicate early cabza changes in SUFE, there are numerous other causes, e. Ultrasound may be performed in epifisioliss assessment of hip pain. Show more Show less. W B Saunders Co. SNIP measures contextual citation impact by wighting citations based on the total number of feomral in a subject field.

Articles Cases Courses Quiz. 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.