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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Case 7 Case 7. Continuing navigation will be considered as acceptance of this use. We reviewed cases in 94 patients operated on in our Department ccabeza to and analyzed the results. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.
It is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view. Case 1 Case 1. In some cases, malalignment of the femoral epiphysis and metaphysis may be seen.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. September Pages This is followed by the acute slip which is posteromedial. Findings are nonspecific and may include hip joint effusion. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning. From Monday to Friday from 9 a. W B Saunders Co. Case 15 Case Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes.
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As such prophylactic pinning is recommended by some 3. Edit article Share article View revision history. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity. In most cases treatment consisted of in situ reduction rpifisiolisis osteosynthesis with K-wires, and cannulated or cancellous screws.
Gonad protection is usually used in pelvic x-rays of children. Treatment of the contralateral hip is more controversial. However, the dose required for the examination means that it should not be used unless absolutely necessary.
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Se continuar a navegar, consideramos que aceita o seu uso. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject femora. Ultrasound may be performed in the assessment of hip pain.
Read it at Google Books – Find it at Amazon. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.
Print Eifisiolisis to a friend Export reference Mendeley Statistics. Obesity is a significant risk factor. Subscriber If you already have your login data, please click here.
Epifisiolisis by Delfina Crespo on Prezi
Are you a health professional able to prescribe or dispense drugs? Case 16 Case Synonyms or Alternate Spellings: Case 5 Case 5. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. Alignment of the epiphysis fsmoral respect to the femoral metaphysis can be used to grade the degree of slippage: Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Articles Cases Courses Quiz.
It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors.
Log in Sign up. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Case 13 Case Check for errors and try again. Currently, osteosynthesis using a single cannulated screw is the preferred procedure.