[Slipped capital femoral epiphysis].
نویسندگان
چکیده
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 X-rays show epiphysis slip. In case of untreated SCFE, a slip progression arises with an acute slip risk. Treatment is indicated to prevent slip worsening. The clinical and radiological classification is useful to guide treatment and it is predictive of the prognosis. In situ fixation of stable and moderately displaced SCFE with cannulated screws gives excellent results. Major complications are chondrolysis and osteonecrosis and the major sequelae are femoroacetabular impingement and early arthritis.
منابع مشابه
Three cases of slipped capital femoral epiphysis in one family.
Slipped capital femoral epiphysis is a relatively common disorder of the hip that affects children in late childhood and early adolescence, with an incidence in the United States of approximately 10 per 100,000. Although the diagnosis and treatment of slipped capital femoral epiphysis have been well described, the search for its cause and a method of early identification continues. Recent publi...
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Slipped capital femoral epiphysis in two Indian brothers--the inheritance of slipped capital femoral epiphysis reviewed.
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Progressive slip after removal of screw fixation in slipped capital femoral epiphysis: two case reports
UNLABELLED INTRODUCTION In slipped capital femoral epiphysis the femoral neck displaces relative to the head due to weakening of the epiphysis. Early recognition and adequate surgical fixation is essential for a good functional outcome. The fixation should be secured until the closure of the epiphysis to prevent further slippage. A slipped capital femoral epiphysis should not be confused wit...
متن کاملA comparison study of radiographic and computerized tomographic angles in slipped capital femoral epiphysis☆
OBJECTIVE To compare proximal femur radiologic angles in patients with slipped capital femoral epiphysis and to analyze whether computerized tomography may modify the treatment. METHODS Cross-sectional study comparing and analyzing the similarity between angles and radiologic classification of interest in slipped capital femoral epiphysis (SCFE). RESULTS It was observed that the therapeutic...
متن کاملApophyseal avulsion fracture of the greater trochanter after slipped capital femoral epiphysis: a case report.
A 13-year-old boy sustained an avulsion fracture of the left greater trochanter eight months after surgical stabilisation of a slipped capital femoral epiphysis on the same side. In this specific case, avulsion of the greater trochanter after slipping of the capital femoral epiphysis may have been facilitated by weakening of the trochanteric physis.
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ورودعنوان ژورنال:
- Orthopedic nursing
دوره 10 1 شماره
صفحات -
تاریخ انتشار 1982