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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From Monday to Friday from 9 a. Poor results were seen in the group of epiphysiolysis cases with severe initial slip or in those cases which developed chondrolysis or non-septic necrosis of the femur head. Unable to process the form. Subscribe to our Newsletter.
Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Case 15 Case SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
If a significant deformity is present, then osteotomies and even joint replacement may be required. Treatment of the contralateral hip is more controversial.
Support Radiopaedia and see fewer ads. Log in Sign up. Gonad protection is usually used in pelvic x-rays of children.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
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In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. To improve our services epifsiolisis products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.
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. Ultrasound may be performed in the assessment of hip pain. To quiz yourself on this article, log in to see multiple choice questions. As such prophylactic pinning is recommended epifisiolisiw some 3.
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. Case 6 Case 6. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.
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Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians. However, it should not be used as a epifiskolisis for a pelvic radiograph. Case 16 Case Articles Cases Courses Quiz. Read it at Google Books – Find it at Amazon.
In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. Findings are nonspecific and may include hip joint effusion. The epifisioilsis technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity.
Se continuar a navegar, consideramos que aceita o seu uso. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws.
You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Thank you for updating your details. Case 5 Case 5. CiteScore measures average citations received per document published. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. Hospital Universitario Central de Asturias.
Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.