Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the. nightstick fracture. wrist. distal radial fracture distal phalanx fracture · Jersey finger · mallet femoral. Winquist classification (femoral shaft fracture). knee. Slipped capital femoral epiphysis (SCFE) is one of the most important pediatric and adolescent hip disorders encountered in medical practice.

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How important is this topic for board examinations? 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.

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Sanz ReigR. Case 8 Case 8. A small incision is made in the outer side of the upper thigh and metal pins are placed through the femoral neck and into the head of the femur.

Tillaux Fractures

Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. Thank you for rating! As such prophylactic pinning is recommended by some 3. Check for errors and try again. Case 1 Case 1. American Academy of Orthopaedic Surgeons.


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Temporal Classification — based on duration of symptoms; rarely used; no prognostic information.

How important is this topic for clinical practice? Obesity is a significant risk factor. Knee radiographs, including stress views, are negative. In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration. Closed reduction and pinning with multiple cannulated screws in an inverted triangle configuration.

Because the epiphysis moves posteriorly, it appears epiflsiolisis because of projectional factors. A dressing covers the wound. Consultation with an orthopaedic surgeon is necessary to repair this problem. It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation.

Subscriber If you already have your login data, please click here. Print Send to a friend Export reference Mendeley Statistics. However, the dose required for the examination means that it should not be used unless absolutely necessary. Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:.


Slipped capital femoral epiphysis – Wikipedia

HPI – Fall and injury to left ankle. Core Tested Community All. 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. Unable to process the form. Slipped capital femoral epiphysis SCFE or skiffyslipped upper femoral epiphysisSUFE or souffycoxa vara adolescentium is a medical term referring to a fracture through the growth plate physiswhich results in slippage of the overlying end of the femur metaphysis.

The fracture occurs at the hypertrophic zone of the physeal cartilage. What is the next step in management? Case 5 Case 5.

Slipped upper femoral epiphysis | Radiology Reference Article |

HPI – She has bilateral knock knees since 9 yrs of age. He denies pain in the right leg.

AP pelvis radiograph is shown in Figure A.