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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. Palabras clave: epifisiolisis femoral proximal, cadera, no parecen modificar en exceso el mal resultado de epifisiolisis con desplazamiento severo no. Download Citation on ResearchGate | Proximal femoral epiphysiolysis | Purpose. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.

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Journal of Pediatric Orthopaedics. Some cases of SCFE affect only one hip, but many are eventually found to affect both hips be bilateral. SCFE affects approximately 1—10 perchildren. SCFEs usually cause groin femru on the affected side, but sometimes cause knee or thigh pain.

Epifisiólisis femoral proximal | Revista Española de Cirugía Ortopédica y Traumatología

The knee is investigated and found to be normal. This item has received. Retrieved 30 November Stress around the hip causes a shear force to be applied at the growth plate.

SCFE is associated with a greater risk of arthritis of the hip joint later in life.

Slipped capital femoral epiphysis – Wikipedia

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

A child thought to have SCFE will see an orthopedic doctor, a specialist in the treatment of bones. To improve our services and products, we use “cookies” own or third parties authorized to show advertising related to client preferences through the analyses of navigation customer behavior.


In these cases, a magnetic resonance imaging study MRI might be ordered.

It is actually the metaphysis neck part of a bone which slips in an anterior direction with external rotation. Continuing navigation will be considered as acceptance of this use.

Slipped Capital Femoral Epiphysis (SCFE)

Currently, osteosynthesis using a single cannulated screw is the preferred procedure. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. 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. Subscriber If you already have your login data, please click here.

But most cases are in kids between 11 and 16 years old who are going through a growth spurt. Hospital Universitario Central de Asturias. Because some patients have a high risk of an SCFE in the other hip, the surgeon might also stabilize that side too, even if it hasn’t slipped yet.

Normally, the head of the femurcalled the capital, should sit squarely on the femoral neck. But in some kids — df 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.

American Academy of Orthopaedic Surgeons. Archives of Disease in Childhood. CiteScore measures average citations received per document published. A dressing covers the wound. In severe cases, after enough rest the patient may require physical therapy to regain strength and movement back to the leg.


Most kids do well when SCFE is caught and treated early. 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. Not everyone can prevent SCFE. The disease can be treated with external in-situ pinning or open reduction and pinning. By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment capital femoral epiphysis to the normal distal fragment femoral neck.

The doctor will also take X-rays of proximaal hips to look for any displacement at the head of the thighbone. It has been shown in the past that attempts to correct the slippage by moving the head back into its correct position can cause the bone to die. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Whilst it can occur in any child, the major risk factor is childhood obesity.