Arch Chir Neerl. ; THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS. BOUMAN FG. PMID: ; [Indexed for MEDLINE]. Ugeskr Laeger. Feb 26;(9) [Delayed diagnosis of epiphysiolysis capitis femoris]. [Article in Danish]. Søballe K(1), Juhl M, Høgh JP. Z Orthop Ihre Grenzgeb. Nov-Dec;(6) [“Recurrent” epiphysiolysis capitis femoris–need for simultaneous stabilization of both hip joints].
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THE PATHOGENESIS OF EPIPHYSIOLYSIS CAPITIS FEMORIS.
Thank you for rating! Please epiphysiolysus below and help us build the most advanced adaptive learning platform in medicine. Her radiograph is shown in Figure A. What is the most appropriate treatment? His pain has significantly worsened over the past week. He denies pain in the right leg.
Radiographs are taken and shown in Figures A and B. The history and physical do not reveal any findings concerning for an endocrine disorder. What is the preferred method of treatment? She is not dependent ccapitis crutches for ambulation. Physical examination reveals external rotation of the extremity caapitis hip flexion. Her parents indicate that outside radiographs were interpreted to be normal.
What is next best step in management? Open demoris and pinning with multiple cannulated screws in an inverted triangle configuration. Closed reduction and pinning with multiple cannulated screws in an inverted triangle configuration.
In situ percutaneous pinning with multiple cannulated screws in an inverted triangle configuration. He does not have a history of kidney disease. The initial radiograph is shown in Figure A. Which of the following zones of the growth plate Figures B-F, all the same magnification is most commonly involved in cpitis condition? His radiographs are shown in Figures A and B.
Forceful manipulation is not indicated because it is associated with an increased risk of complications. Associated with decreased femoral anteversion and decreased femoral neck-shaft angle. Preoperative radiographs are seen in Figure A, radiographs six months after in situ fixation are seen in Figure B.
Which of the following is associated with the radiographic abnormality seen in Figure B? Which of the following figures accurately represents the method used to determine the radiographic severity of the epiphyseal slip and help guide treatment? She has 2 years of activity-related left hip pain and pain with prolonged sitting. On physical examination she has restricted hip flexion motion, an external rotation deformity, and obligatory external rotation upon hip flexion manuevering.
Radiographs are shown in Figures A and B. Which of the following osteotomies is MOST appropriate? Flexion, internal rotation, and valgus-producing proximal femoral osteotomy Imhauser osteotomy.
Bernese periacetabular osteotomy with extension, external rotation, and valgus-producing femoral osteotomy.
Valgus-producing intertrochanteric proximal femoral osteotomy Pauwel osteotomy. He is now unable to place weight on the left lower extremity, even with the assistance of epiphysiolydis. AP pelvis radiograph is shown in Figure A. He is treated with surgical intervention and post-operative radiographs are shown in Figures B and C.
What is the most common limb length and rotational profile found as a sequelae of this condition?
[Delayed diagnosis of epiphysiolysis capitis femoris].
Which of the following vessels gives the greatest blood supply to the femoral head? He has an antalgic gait and increased external rotation of his foot progression angle compared to the contralateral side. Knee radiographs, including stress views, are negative.
What is the next step in management? SCAFE sign and radilogical interpretation. This video briefly explain the etiologic factors that causes hip pain in child. HPI – She has bilateral knock knees since 9 yrs of age.
Frequent falls due to crossed legs. She has no complains in the hips.
How would you treat this patient? Pediatric Orthopaedic Society of North America. Please vote below and help us build the most advanced adaptive learning platform in medicine The complexity of this topic is appropriate for? L6 – years in practice. L7 – years in practice.
Slipped Capital Femoral Epiphysis (SCFE)
L8 – 10 years in practice. How important is this topic for board examinations? How important is this topic for clinical practice? Core Tested Community All. Please login to add comment. Loder Classification — based on ability to bear weight. Provides prognostic information for complication of femoral head osteonecrosis.
Temporal Classification — based on duration of symptoms; rarely used; no prognostic information. Symptoms that persist for less than 3 weeks. Grading System — based on percentage of slippage.