Management of Atypical Slipped Capital Femoral Epiphysis
نویسندگان
چکیده
Atypical slipped capital femoral epiphyseal (SCFE) is associated with endocrine or metabolic disorders and radiation therapy. In this review, we discuss the clinical presentation for endocrinopathies, such as hyperparathyroidism, hypothyroidism, growth hormone deficiency well renal osteodystrophy, radiation-induced, valgus SCFE, pertinent case examples. Routine laboratory screening of all patients SCFE likely not cost-effective. Patients atypical are often short in stature, underweight, present either older younger than typical age range (10-16 years old) idiopathic SCFE. Patient’s fitting these criteria should undergo an workup. While uncommon, prompt recognition crucial coordinated care pediatric subspecialists necessary. situ fixation cannulated screws most common method bilateral recommended.
منابع مشابه
Slipped Capital Femoral Epiphysis in Atypical Patients.
When patients who are thin present with knee pain, it can be easy to overlook the possibility of slipped capital femoral epiphysis (SCFE). Although 80% of patients with a "slip" are obese, thin children are not immune to this problem. Endocrinopathies, especially hypothyroidism, can be associated with SCFE. This article describes guidelines for evaluating patients for a slip and highlights some...
متن کامل[Slipped capital femoral epiphysis].
Slipped capital femoral epiphysis (SFCE) is a disorder of the hip, characterized by a displacement of the capital femoral epiphysis from the metaphysic through the femoral growth plate. The epiphysis slips posteriorly and inferiorly. SCFE occurs during puberty and metabolic and epidemiologic risk factors, such as obesity are frequently found. Most chronic slips are diagnosed late. Sagittal hip ...
متن کاملSlipped capital femoral epiphysis.
SCFE is the most common hip abnormality in adolescence. The subsequent development and severity of degenerative changes is related to the degree of slippage and to delay in diagnosis. Awareness of this diagnostic possibility in the population at greatest risk and knowledge of subtle and early radiographic findings will allow prompt diagnosis and treatment of SCFE. Follow-up radiographic examina...
متن کاملSlipped Capital Femoral Epiphysis: Diagnosis and Management.
Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children. SCFE is classified as stable or unstable based on the stability of the physis. It is associated with obesity, growth spurts, and (occasionally) endocrin...
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ژورنال
عنوان ژورنال: Journal of the Pediatric Orthopaedic Society of North America
سال: 2023
ISSN: ['2768-2765']
DOI: https://doi.org/10.55275/jposna-2023-727