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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In severe cases, after enough rest the patient may require physical therapy to regain strength and movement back to the leg. Stress on the hip causes the epiphysis to move posteriorly and medially. She is not dependent on crutches for ambulation. Which of the following osteotomies is MOST appropriate? Slipped upper femoral epiphysis Dr Rohit Sharma and A. Provides prognostic information for complication of femoral head osteonecrosis. He denies pain in the right leg.

Gonad protection is usually used in pelvic x-rays of children. Bericht ueber eine Familie mit 10 Faellen.

[Delayed diagnosis of epiphysiolysis capitis femoris].

Running, and other strenuous activity on legs, will also cause the hips to abnormally move due to the condition and can potentially worsen the pain. Temporal Classification — femorus on duration of symptoms; rarely used; no prognostic information.

If a significant deformity is present, then osteotomies and even joint replacement may be required. Please login to add comment. The history and physical do not reveal any findings concerning for an endocrine disorder.

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Thank you for updating your details. Clinical examination of the hips should be undertaken in any child who complains of pain in the knee or thigh.

Because the physis has yet epipphysiolysis close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this late in childhood, the supply is tenuous and frequently lost after the fracture occurs.

Findings are nonspecific and may include hip joint effusion.

Usually, a SCFE causes groin pain, but it may cause pain in only the thigh or knee, because the pain may be referred along the distribution of the obturator nerve. SCAFE sign and radilogical interpretation. The left hip is more capitks affected than the right. It has been shown in the past that attempts to correct the slippage by moving the head back into its correct position femoria cause the bone to die.


In 65 percent of cases of SCFE, the person is over the 95th percentile for weight. The most characteristic clinical finding was limited internal rotation of the affected hip. She has 2 years of activity-related left hip pain and pain with prolonged sitting.

In other projects Wikimedia Commons. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? The diagnosis requires x-rays of the pelvis, with anteriorposterior AP fempris frog-leg lateral views. SCFE is the most common hip disorder in adolescence. Prevalence, Pathogenesis, and Natural History”. Almost xapitis cases require surgery, which epiphysiolywis involves the placement of one or two pins into the femoral head to prevent further slippage.


L8 – 10 years in practice. L7 – years in practice.

Slipped Capital Femoral Epiphysis (SCFE) – Pediatrics – Orthobullets

Expert curators review the literature and organize it to facilitate your work. SCFE is associated with a greater risk of arthritis of the hip joint later in life. W B Saunders Co. Fenoris trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present. Retrieved 30 November Her radiograph is shown in Figure A. A study in Scotland looked at the weight ofinfants, and followed them up to see who got SCFE. Abnormal movement along the growth plate results in the slip.

Knee radiographs, including stress views, are negative.

Epiphysiolysis capitis femoris mit wahrscheinlich unregelmaessig dominantem Erbgang: