Arch Chir Neerl. ; THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS. BOUMAN FG. PMID: ; [Indexed for MEDLINE]. Ugeskr Laeger. Feb 26;(9) [Delayed diagnosis of epiphysiolysis capitis femoris]. [Article in Danish]. Søballe K(1), Juhl M, Høgh JP. Z Orthop Ihre Grenzgeb. Nov-Dec;(6) [“Recurrent” epiphysiolysis capitis femoris–need for simultaneous stabilization of both hip joints].

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X-ray showing a slipped capital femoral epiphysis, before and after surgical fixation.

While the OMIM database is open to the public, users seeking information about a personal medical or genetic condition are urged to consult with a qualified physician for diagnosis and for answers to personal questions. Synonyms or Alternate Spellings: Clinical Orthopaedics and Related Research.

[Delayed diagnosis of epiphysiolysis capitis femoris].

Radiographs are taken and shown in Figures A and B. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.

From Wikipedia, the free encyclopedia. What is the next step in management? Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest.


Retrieved from ” https: A SCFE is an orthopaedic emergency, as further slippage may result in occlusion of the blood supply and avascular necrosis risk of 25 percent. This is followed by the acute slip which is posteromedial.


Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. Abnormal movement along the growth plate results in the slip. This disorder was found by Ochsner et al. The median total delay was six months with a delay of one month due to the patient and delay of three months due to the doctor.

A dressing covers the wound. She is not dependent on crutches for ambulation.

Provides prognostic information for complication of femoral head osteonecrosis. However, the dose required for the examination means femorsi it should not be used unless absolutely necessary. Consultation with an orthopaedic surgeon is necessary to repair this problem. Case 2 Case 2. Slipped upper femoral femorls Dr Rohit Sharma epjphysiolysis A.

In 65 percent of cases of SCFE, the person is over the 95th percentile for weight. Which of the following figures accurately represents the method used to determine the radiographic severity of the epiphyseal slip and help guide treatment? Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.

We are determined to keep this website freely accessible. We need long-term secure funding to provide you the information that you need at your fingertips. Manipulation of the fracture frequently results in osteonecrosis and the acute loss of articular cartilage chondrolysis because of the tenuous nature of the blood supply. The temoris for and the extent of delayed diagnosis of slipping of the epiphysis in the hip were analysed in 56 children 72 hips with ECF.


The term slipped capital femoral epiphysis is actually a misnomer epiphysiolyiss, because the epiphysis end part of a bone remains in its normal anatomical position in the acetabulum hip socket due to the ligamentum teres femoris. Findings are nonspecific and may include hip joint effusion. Chondropathies Skeletal disorders Rare diseases Medical terminology.

The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for?

He is treated with femotis intervention and post-operative radiographs are shown in Figures B and C. Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. Stress on the hip causes the epiphysis to move posteriorly and medially. He does not have a history of epophysiolysis disease. Unable to process the form.