Slipped capital femoral epiphysis
Slipped epiphysis is a disease of the femoral head.
What is the frequency shift of capital femoral epiphysis?
The incidence of the disease is, 8-13/100.000. Is more common in blacks and Hispanics. Male / female ratio 2.4. More frequently observed on the left. 20-40% of the patients had chronic bilateral involvement is observed.
What causes the disease?
The disease is more common in the age group of 10-16 that the fastest growth. Patients are considered to be the risk of obesity are seen frequently. Shear forces acting on the growth plate increased with increasing weight may shift capital femoral epiphysis. Hypothyroidism, growth hormone disorders, hypogonadism also are more common. Slipped capital femoral epiphysis (SCFE), 10 years and under 16 years of age or endocrine research should necessarily occur.
What are the signs of shifting capital femoral epiphysis?
The typical patient, adolescence, overweight male patient. Often present with sudden onset of hip pain. Determined by examination of the foot outward push limping walk. Reduced hip flexion, hip extension, increased, decreased hip internal rotation and shortening of 1-2 cm is the most common physical examination findings.
What are the radiological findings of shifting capital femoral epiphysis?
Anterior-posterior radiographs of the pelvis or hip femoral head epiphysis slip classified as I-lightweight slip: 1/3 less than slipping, sliding II-intermediate level: 1/3-2/3 between the slip slip III-serious level 2/3 more than slip.
Lateral hip radiographs, or frog-leg position, the angle of deviation is measured by radiography. Accordingly, the I-Light shift: the shift in less than 30 degrees of angulation, II-intermediate level shift: shift of 30 to 60 degrees, 60 degrees III-slip shear classified as severely.
What is the treatment of shifting capital femoral epiphysis?
Slipped capital femoral epiphysis requires urgent surgical detection Gentle fitting instead of an attempted shift maneuver is executed Cannulated screws is determined by X-ray If not become successful, and further attempted to be left in position..