May 14, 2020   |   by admin

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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Stress around the hip causes a shear force to be applied at the growth plate. American Academy of Orthopaedic Surgeons. In other projects Wikimedia Commons.

Most teens whose SCFE is caught and treated early do well. Consultation with an orthopaedic surgeon is necessary to repair this problem. Fwmoral Skeletal disorders Rare diseases Medical terminology. SCFE is the most common hip disorder in adolescence.

The severity of the disease can be measured using the Southwick angle. Sometimes this happens suddenly — after a fall or sports injury, for example.

Slipped capital femoral epiphysis

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. Our main hospital address is: Some cases of SCFE affect only one hip, but capiatl are eventually found to affect both hips be bilateral.


The doctor will also take X-rays of eifisiolisis hips to look for any displacement at the head of the thighbone. The almost exclusive incidence of SCFE during the adolescent growth spurt indicates a hormonal role. L7 – years in practice. See a list of upcoming fundraising events. Doctors wpifisiolisis continue to order follow-up X-rays to monitor the condition. Case 15 Case caiptal Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e.

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. The pain and the limp typically tend to come and go, worsening with activity and getting better with rest.

SCFEs occurs slightly more commonly in adolescent malesespecially young black males, although it also affects females.

In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. But it can also happen gradually, with no previous injury.


A stable SCFE usually causes the person to limp and walk with the foot turned outward. If a significant deformity is present, then osteotomies and even joint replacement may be required.

Maintaining a healthy weight can go a long way in sparing your bones and joints from the excess wear and tear that can weaken and damage them. To pay your bill online, please visit UPMC’s online bill payment system.

Slipped Capital Femoral Epiphysis (SCFE) (for Teens)

Radiographs are shown in Figures A and B. Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this epifisiolisiw in childhood, the supply is tenuous and frequently lost after the fracture occurs. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.

Sometimes this happens suddenly — after a fall or sports injury, for example. Case 2 Case 2.

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