However, the dose required for the examination means that it should not be used unless absolutely necessary. Epifisiolisis by Delfina Crespo on Prezi CiteScore measures average citations received per document published. Case 8 Case 8. This is followed by the acute slip which is posteromedial.
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Akikora Case 2 Case 2. Findings are nonspecific and may include hip joint effusion. SNIP measures contextual citation impact by wighting citations based on the total number of citations in a subject field.
Hospital Universitario Central de Asturias. We reviewed cases in 94 patients operated on in our Department from to and analyzed the results. Subscriber If you already have your login data, please click here. You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
Synonyms or Alternate Spellings: Are you a epifisioliisis professional able to prescribe or dispense drugs? Case femoarl Case 7. Subscribe to our Newsletter. Si continua navegando, consideramos que acepta su uso. Marrow edema is non-specific, and while it may indicate early bone changes in SUFE, there are numerous other causes, e. If a significant deformity is present, then osteotomies and even joint replacement may be required.
Slipped upper femoral epiphysis Dr Rohit Sharma and A. Print Send to a friend Export reference Mendeley Statistics. 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. Case 13 Case Edit article Share article View revision history. Case 4 Case 4. 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.
Log in Sign up. In most cases treatment consisted of in situ reduction and osteosynthesis with K-wires, and cannulated or cancellous screws. Currently, osteosynthesis using a single cannulated screw is the preferred procedure.
Show more Show less. 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. Alignment of the epiphysis with respect to the femoral metaphysis can be used to grade the degree of slippage: About Blog Go ad-free. In the acute stage, marrow edema results in an increased signal on T2-weighted sequences, e.
Unable to process the form. 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. Articles Cases Courses Quiz. September Pages It is a point of controversy whether the orthopedic surgeon should act to correct this disorder. 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.
In a chronic slip, the physis becomes sclerotic and the metaphysis widens coxa magna. Read it epifisiolixis Google Books — Find it at Amazon. From Monday to Friday from 9 a. Treatment of unstable slipped upper femoral epiphysis has progressively shifted exclusively towards surgical pinning.
Treatment of the contralateral hip is more controversial. 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. TOP Related Posts.
Epifisiólisis de la cabeza femoral
Kajinris W B Saunders Co. Case 15 Case Case 8 Case 8. Se continuar a navegar, consideramos que aceita o seu uso. Synonyms epifsiiolisis Alternate Spellings: You can also scroll through stacks with your mouse wheel or the keyboard arrow keys.
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EPIFISIOLISIS FEMORAL CAPITAL