en españolDeslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis). A good, stable connection at the hip joint is what lets us walk, run, jump, and many . En algunos niños, particularmente en los que son obesos, el hueso del muslo y el de la cadera no están conectados como deberían debido a una afección. Slipped upper femoral epiphysis (SUFE), also known as a slipped capital femoral epiphysis (SCFE), is a relatively common condition affecting the physis of the.

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A good, stable connection at your hip joint is what lets you walk, run, make that jump shot, and shake it on the dance floor. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.

While trauma has a role in the manifestation of the fracture, an intrinsic weakness in the physeal cartilage also is present. In SCFE, the femoral head of the thighbone slips through the physis, almost the way a scoop of ice cream might slip off a cone. One in five cases involve both hips, resulting in pain on both sides of the body. No one knows for sure what causes SCFE.

Case 15 Case The term slipped capital femoral epiphysis is actually a misnomerbecause the epiphysis end part of a bone remains in its normal anatomical position in the acetabulum hip socket due to the ligamentum teres femoris.

Pittsburgh, PA Get directions to our main campus. 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. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. Hip motion will be limited, particularly internal rotation. She has 2 years of activity-related left hip pain and pain with prolonged sitting.


She has no complains in the hips. Doctors do know SCFE mostly happens in people between the ages of 11 and 16 who are going through a growth spurt.

The job of the physis is to connect the femoral head the “ball” to the femur while still allowing the bone to lengthen and grow. Whilst it can occur in any child, the major risk factor is childhood obesity. SCFE is associated with a greater risk of arthritis of the hip joint later in life.

National Library of Medicine. But in some teens — particularly those who are obese — the thighbone and the hipbone are a little less well connected than they should be because of a condition called slipped capital femoral epiphysis SCFE. As such prophylactic pinning is recommended by some 3. Obesity is a significant risk factor. He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side.

Slipped upper femoral epiphysis | Radiology Reference Article |

In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa capitak. Which of the following is associated with the radiographic abnormality seen in Figure B?

Thank you for rating! For specific medical advice, diagnoses, and treatment, consult your doctor.

Slipped Capital Femoral Epiphysis (SCFE)

Open reduction and pinning with multiple cannulated screws in an inverted triangle configuration. Check for errors and try again.


Make a donation online. The hip is a ball-and-socket joint, which means that the rounded end of one bone in this case, the “ball” of the thighbone fits into the hollow of another bone the pelvis.

It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Epifisiiolisis you for updating your details. Journal of Pediatric Orthopaedics. Many doctors recommend admission to the hospital as soon as the SCFE is discovered to make sure the patient rests, and so surgery can be done as soon as possible.

However, teens with unstable SCFE have a greater chance of developing other problems later, like stiff hips, early arthritis, leg length differences, or avascular necrosis where part of the “ball” dies from lack of blood supply. Once SCFE is suspected, the patient should be non- weight bearing and remain on strict bed rest. What’s in this article? About Blog Go ad-free.

By using this site, you agree to the Terms of Use and Privacy Policy. Catching SCFE early makes a big difference in how easily doctors can treat it. However, it should not be used as a replacement for a pelvic radiograph. Doctors will continue to order follow-up Ca;ital to monitor the condition.

Visit Children’s Hospital of Pittsburgh Foundation’s website to:. This page was last edited on 16 Novemberat