Epifisiolistesis femoral proximal. AV. Alvaro Valdez. Updated 6 August Transcript. ingle, muslo, rodilla. sordo, vago, intermitente o continuo. > actividad. Epifisiolistesis femoral proximal. Experiencia en el tratamiento con tornillo canulado. Rev Mex Ortop Ped ; 1 (1). Language: Español References: Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice.

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Definitive surgical correction of hip displacement was then carried out. How important is this topic for clinical practice? Though the name’s quite a mouthful, it simply refers to a shift at the upper part of the thighbone, or femur, that results in a feemoral hip joint. Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. Testis volumes, however, were increased, as reported in macro-orchidism secondary to hyper-thyroidotropinism without virilization.

Doctors decide how much weight can epifisiolistesw placed on the affected leg after surgery based on the severity of the slip. Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve.

The condition usually develops gradually over time and is more common in boys than in girls. This is a year-old epitisiolistese, born at term with adequate weight for gestational age. Which of the following vessels gives the greatest blood supply to the femoral head?

Slipped Capital Femoral Epiphysis (SCFE) (for Teens)

Almost all cases require surgery, which usually involves the placement of one or two pins into the femoral head to prevent further slippage. Current opinion in pediatrics ; 8: X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation. For reasons that are not well understood, the ball at the head of the femur thighbone slips off the neck of the bone in a backward direction. He also had normal serum ACTH, as well as pre-pubertal serum gonadotropins and testosterone, compatible with the clinical findings.

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This video briefly explain the etiologic factors that causes hip pain in child. The job of the physis is to connect the femoral head the “ball” to the femur while still allowing the bone to lengthen and grow.

Failure to treat a SCFE may lead to: In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration. Slipped epiphysis associated with hypothyroidism. Radiographs are taken and shown in Figures A and B.

Normally, the head of the femurcalled the capital, should sit squarely on the femoral neck. The epjfisiolistese can be treated with external in-situ pinning or open reduction and pinning.

Slipped Capital Femoral Epiphysis (SCFE)

The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. It has been shown in the past that attempts to correct the slippage by moving femoraal head back into its correct position can cause the bone to die.

Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser osteotomy. At 12 year, 11 months of age, after a diagnosis of bilateral slipped capital femoral epiphysis was made.

These patients should be diagnosed early, and furthermore, they should be managed by an interdisciplinary team. National Library of Medicine. Pediatric Orthopaedic Society of North America. Prevalence, Pathogenesis, femorall Natural History”. The doctor will also take X-rays of the hip to look for the displacement at the head of the thighbone. In severe cases, after enough rest the patient may require physical epiflsiolistese to regain strength and movement back to the leg.

But one thing you can do epifisiolisttese lessen your risk is to keep your weight in a healthy range. SCFE is more common in guys, though girls can have it too.

SCFE is also more likely to happen to teens who have specific stuff going on with their health, such as:. Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible.


The left hip is more often affected than the right. Since clinical signs, strongly suggested severe hypothyroidism the following laboratory worked up was ordered: SCFE is associated with a greater risk of arthritis of the hip joint later in life. One in five cases involve both hips, resulting in pain on both sides of the body. This is called the physis, and it’s made out of cartilage, which is weaker than bone.

Which of the following figures accurately represents the method used to determine the radiographic severity of the epiphyseal slip and help guide treatment? Weight 53 Kg 0.

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

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. 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.

This causes pain, stiffness, and instability in the affected hip. Surgical intervention was postponed until normalization of thyroid function, anemia, and metabolic profile. For specific medical advice, diagnoses, and treatment, consult your doctor. Skeletal changes may also make someone at risk of SCFE, including femoral or acetabular retroversion, [5] those these may simply be chronic skeletal manifestations of childhood obesity. HPI – She epifisillistese bilateral knock knees since 9 yrs of age.

Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy.