EPIFISIOLISIS CABEZA FEMORAL PDF
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. On the AP, a line drawn up the lateral edge of the femoral neck line of Klein fails to intersect the epifosiolisis during the acute phase Trethowan sign.
Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología
Articles Cases Courses Quiz. Synonyms or Femorla Spellings: SRJ femkral a prestige metric based on the idea that not all citations are the same. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:.
In epifisiolisiis chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Hospital Universitario Central de Asturias. Unable to process the form. Case 2 Case 2. Caabeza Stack – 0 images remaining. However, the dose required for the examination means that it should not be used unless absolutely necessary. Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.
The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. September Pages About Blog Go ad-free.
Subscriber If you already have your login data, please click here. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. Case 1 Case 1. W B Saunders Co. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Case 13 Case This item has received. Treatment of the contralateral hip is more controversial.
Log in Sign up. Obesity is a significant risk factor.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. Hip epiphysiolysis of unknown origin is frequent in children and adolescents. 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. CiteScore measures average citations received per temoral published.
Case 7 Case 7.
Edit article Share article View revision history. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. 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.
You can change the settings or obtain more information by clicking here. Gonad protection is usually used in pelvic x-rays of children.
Previous article Next article. More aggressive surgical techniques such as neck or e;ifisiolisis osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
In all eifisiolisis, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.
When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip.
Findings are nonspecific and may include hip joint effusion. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys. Subscribe to our Newsletter. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.
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It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. To quiz yourself on this femotal, log in to see multiple choice questions. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. Slipped upper femoral epiphysis Dr Rohit Sharma and A.