Epifisiolisis de La Cabeza Femoral (Spanish Edition): Medicine & Health Science Books @ Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. 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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When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epiphysis during the femoal phase Trethowan sign.

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Support Radiopaedia and see fewer ads. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Thank you for updating your details.

Epifisiolisis by Delfina Crespo on Prezi

Read it at Google Books – Find it at Amazon. However, the dose required for the examination means that it should not be used unless absolutely necessary.

This is followed by the acute slip which is posteromedial. September Pages We reviewed cases in 94 patients operated on in our Department fenoral to and analyzed the results.


As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. SRJ is a prestige metric based on the idea that not all citations are the same. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: 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.

Hospital Universitario Central de Asturias. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.

Case 2 Case 2. Edit article Share article View revision history.

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

Show more Show less. You can change the settings or obtain more information by clicking here. Synonyms or Alternate Spellings: Subscriber If you already have your login data, please click here. Log in Sign up. Epifisioliis are nonspecific and may include hip joint effusion. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in epifiwiolisis cases which developed chondrolysis or non-septic necrosis of the femur head.


Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. 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.

Articles Cases Courses Quiz. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. It is therefore is more easily seen on the frog-leg lateral view rather than epifisio,isis AP hip view. W B Saunders Co. Case 8 Case 8. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.

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

You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Obesity is a significant risk factor. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. 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.