EPIFISIOLISIS CABEZA FEMORAL PDF
Cuando un niño tiene SCFE, la cabeza femoral del hueso del muslo se desliza a través de la epífisis, casi de la misma manera en que una bola de helado. Resumen La epifisiolisis de la cabeza femoral (ECF) se describe como el la epífisis (cabeza femoral) respecto a la metáfisis (cuello) a través de la fisis. grupo de epifisiólisis con desplazamiento inicial severo, o a aquellos en los que se desarrolló una necrosis aséptica de la cabeza femoral o una condrólisis.
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Log in Sign up. 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.
However, the dose required for the examination means that it should not femmoral used unless absolutely necessary. Loading Stack – 0 images remaining.
Case 7 Case 7. Thank you for updating your details. Case 15 Case Print Send to a friend Export reference Mendeley Statistics. Hospital Universitario Central de Asturias. Case 6 Case 6. About Blog Go ad-free. Previous article Next article.
Gonad protection is usually used in pelvic x-rays of children. Subscribe to our Newsletter. MRI can be used to examine the contralateral hip which is important because of the high incidence of bilateral slip. Case 4 Case 4. In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed.
Show more Show less. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Case 16 Case Check for errors and try again. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis)
Unable to process the form. Subscriber If you already have your login data, please click here. Si continua navegando, consideramos que acepta su uso. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: It represents the superposition of the femoral neck and the posteriorly displaced capital epiphysis. Case 13 Case The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis.
Multiplane reconstruction allows assessment of the relationship of the femoral head to the epifiziolisis in three planes. Eoifisiolisis is therefore is more easily seen on the frog-leg lateral view rather than the AP hip view.
SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. dpifisiolisis
This is followed by the acute slip which is posteromedial. To quiz yourself on this article, log in to see multiple choice questions. It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. When the slip is evident, and no secondary degenerative changes are present, then the diagnosis is usually readily made. Case 5 Case 5.
Deslizamiento de la epífisis capital femoral (SCFE, o epifisiolisis) (para Padres)
Poor results 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. Case 2 Case 2. During growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt.
In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. Articles Cases Courses Quiz. In the pre-slip phase, there is a widening of the growth plate with irregularity and blurring of the physeal edges and demineralisation of the metaphysis.
Synonyms or Alternate Spellings: Obesity is a significant risk factor. 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.
Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. The fixation technique requires great skill; the osteosynthesis materials must not penetrate the intra-articular space; the procedure must not cause a valgus deformity. 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.
Case 1 Case 1. Se continuar a navegar, consideramos que aceita o seu uso. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results.
Edit article Share article View revision history. Hip epiphysiolysis of unknown origin is frequent in children and adolescents.