Slipped capital femoral epiphysis is a medical term referring to a fracture through the growth SCFE is a Salter-Harris type 1 fracture through the proximal femoral physis. Stress around the hip causes a shear force to be applied at the growth. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral common condition affecting the physis of the proximal femur in adolescents. La epifisiólisis femoral proximal (EFP) consiste en un deslizamiento de la epífisis femoral proximal respecto al cuello.
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Images in Pediatric Endocrinology: BILATERAL SLIPPED CAPITAL FEMORAL EPIPHYSIS – Ed. 65
Show more Show less. Hip epiphysiolysis of unknown origin is frequent in children and adolescents. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder.
We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.
Epifisiólisis femoral proximal – PDF Free Download
In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. More aggressive surgical techniques such as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement. Poor feoral 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.
The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity. Currently, osteosynthesis using a single cannulated screw is the epifisiolisie procedure.
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