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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Hospital Universitario Central de Asturias. Findings are nonspecific and may include hip joint effusion.
Case 13 Case Case 6 Case 6. Check for errors and try again. Case 4 Case 4. You can change the settings or obtain more information by clicking here.
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. Read it at Google Books – Find it at Amazon. Epifiziolisis epiphysiolysis of unknown origin is frequent in children and adolescents. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.
Case 15 Case Se continuar a navegar, consideramos que aceita o seu uso. Continuing navigation will be considered as acceptance of this use.
Subscriber If you already have your login data, please click here. About Blog Go ad-free. This is followed by the acute slip which is posteromedial. Currently, osteosynthesis using a single cannulated screw is the preferred procedure. More aggressive surgical techniques caneza as neck or transtrochanteric osteotomies do not seem to excessively modify the poor results of epiphysiolysis with severe uncorrected displacement.
Articles Cases Courses Quiz. In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna.
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Edit article Share article View revision history. Si continua navegando, consideramos que acepta su uso. SNIP measures epifisioljsis citation impact by wighting citations based on the total number of citations in a subject field. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: However, the dose required for the examination means that it should not be used unless absolutely necessary.
Case 2 Case 2. Case 16 Case In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e. Support Radiopaedia and see fewer ads.
Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. Because the epiphysis moves posteriorly, it appears smaller because of projectional factors. Poor results were seen in the group of epiphysiolysis epofisiolisis with severe initial slip feemoral in those cases which developed chondrolysis femorsl non-septic necrosis of the femur head.
Unable to process the form. Are you a health professional able to prescribe or dispense drugs? In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. On the AP, a line drawn up the lateral edge of the femoral femoarl line of Klein fails to intersect the epiphysis during the acute phase Trethowan sign.
Show more Show less. 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. The metaphyseal blanch signa sign seen on AP views, involves increases in the density of the proximal metaphysis. Gonad protection is usually used in pelvic x-rays of children.
In some cases, malalignment of the femoral epiphysis and metaphysis may be seen. Obesity is a significant risk factor. Previous article Next article. CiteScore measures average citations received per document published. Print Send to a friend Export reference Mendeley Statistics. From Monday to Friday from 9 a. Thank you femral updating your details.
Multiplane reconstruction allows assessment of the relationship of the femoral head to the metaphysis in three planes. Ultrasound may be performed in the assessment of hip pain.
Ideally, however, the diagnosis is made early in which case the differential is that of a painful hip and includes:. Case 7 Case 7.