Slipped Capital Epithesis

Slipped Capital Epithesis-25
- Osteonecrosis After Contralateral in Situ Prophylactic Pinning for a Slipped Capital Femoral Epiphysis - chondrolysis - late DJD of hip; - because acetabulum is fully formed by time SCFE occurs & dysplasia is unlikely; - proximal femur may show concavity of the inferior region of the head neck junction, loss of concavity of the superior head and neck junction; - references: - Subclinical subcapital femoral epiphysis. - leg length inequality: - if reduction is incomplete or necrosis or chondrolysis develops limb-length inequality may result; - coxa vara, secondary to the slip & not to trochanteric overgrowth - References: Prophylactic Pinning of the Contralateral Hip After Unilateral Slipped Capital Femoral Epiphysis.

- Osteonecrosis After Contralateral in Situ Prophylactic Pinning for a Slipped Capital Femoral Epiphysis - chondrolysis - late DJD of hip; - because acetabulum is fully formed by time SCFE occurs & dysplasia is unlikely; - proximal femur may show concavity of the inferior region of the head neck junction, loss of concavity of the superior head and neck junction; - references: - Subclinical subcapital femoral epiphysis. - leg length inequality: - if reduction is incomplete or necrosis or chondrolysis develops limb-length inequality may result; - coxa vara, secondary to the slip & not to trochanteric overgrowth - References: Prophylactic Pinning of the Contralateral Hip After Unilateral Slipped Capital Femoral Epiphysis.Posterior Sloping Angle of the Capital Femoral Physis: A Predictor of Bilaterality in Slipped Capital Femoral Epiphysis.When your child comes to our clinic, we examine them.

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Slipped capital femoral epiphysis (SCFE; pronounced “skiffy”) is when the top of the thighbone slips out of place.

To understand SCFE, it helps to know a little about what the hip joint looks like.

Those with severe obesity at 5 to 6 years old had 5.9 times greater risk of SCFE (95% CI 3.9–9.0) compared with those with a normal BMI; those with severe obesity at 11 to 12 years had 17.0 times the risk of SCFE (95% CI 5.9–49.0).

CONCLUSIONS: High childhood BMI is strongly associated with SCFE.

Next we take of the hip to give us more information.

If your child does have SCFE, we will ask them to stop putting weight on the leg that is affected, even if it does not hurt. In most cases, we will have your child stay in the hospital for surgical treatment.The current evidence is almost exclusively based on small, low-quality case series from specialist centers.Using routinely collected BMI from ∼600 000 children and 4.25 million child-years of follow-up, we provide robust evidence to support a causal association between obesity and slipped capital femoral epiphysis: a strong association, temporal relationship, and marked dose response.; however, there is poor understanding of short-term outcomes that may cause early childhood disability.In SCFE, the top or cap of the ball slips off the femoral head through the growth plate.Think of the ball as being like a scoop of ice cream that falls off its “cone,” the thighbone. Children may not have had any injury before the pain starts.The cohort was formed from 2 sources of routine universal childhood height and weight measurements at primary school entry (5–6 years old).Cohort 1 comprises the Study of Trends in Obesity in North East Scotland (STONES), which was collected from the Grampian region of Scotland and represents ∼10% of the Scottish population. The Scottish Community Health Index (CHI) number, which is a unique identity number among all Scottish residents, was collected for children born after 1992.Simultaneous Biplanar Fluoroscopy for the Surgical Treatment of Slipped Capital Femoral Epiphysis.METHODS: We performed a cohort study using routine data from health screening examinations at primary school entry (5–6 years old) in Scotland, linked to a nationwide hospital admissions database.- Complications: - aseptic necrosis is most common complication; - references: - Factors Influencing the Development of Osteonecrosis in Patients Treated for Slipped Capital Femoral Epiphysis.- The treatment of an unstable slipped capital femoral epiphysis by either intracapsular cuneiform osteotomy or pinning in situ: a comparative study.

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