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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In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. Se continuar a navegar, consideramos que aceita o seu uso. Obesity is a significant risk factor.

Case 16 Case From Monday to Friday from 9 a. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: Previous article Next article. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. As the fmoral becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.

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During growth, there is a widening of the physeal plate which is particularly pronounced during femora, growth spurt. It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis.


Subscriber If you already have your login data, please click here. Thank you for updating your details. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis.

This item has received. Case 4 Case 4. Currently, osteosynthesis using a single cannulated screw is the preferred procedure. It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.

More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor dpifisiolisis of epiphysiolysis with severe uncorrected displacement.

Case 1 Case 1. Check for errors and try again. Support Radiopaedia and see fewer ads. Ultrasound may be performed in the assessment of hip pain.

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

Si continua navegando, consideramos que acepta su uso. Hip epiphysiolysis of unknown origin is frequent in children and adolescents. In the pre-slip phase, there fmoral a widening of the growth plate with irregularity and blurring of the physeal edges and demineralisation of the metaphysis. You can change the settings or obtain more information by clicking here.

Continuing navigation will be considered as acceptance of this use. Unable to process the form. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.


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.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

Edit article Share article View revision epifiiolisis. Findings are nonspecific and may include hip joint effusion. CiteScore measures average citations received per document published.

The metaphysis is displaced laterally epiisiolisis therefore may not overlap posterior lip of the acetabulum as it should normally loss of triangular sign of Capener 5. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.

To quiz yourself on this article, log in to see multiple choice questions. About Blog Go ad-free. Case 2 Case 2.

Epifisiolisis by Delfina Crespo on Prezi

It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. Case 13 Case Case 8 Case 8. However, the dose required for the examination means that it should not be used unless absolutely necessary.