What is the best view to diagnose SCFE?
Standard radiography is the first-choice imaging modality in patients with suspected SCFE. Usually, anteroposterior (AP) pelvis and frog-lateral views of both hips are obtained (Fig. 1). Radiographs of the contralateral side should always be included to rule out the bilateral involvement of SCFE.
What is the best evidence for the treatment of slipped capital femoral epiphysis?
Conclusions: A systematic review of the literature recommends on the basis of level of evidence that the best treatment for a stable SCFE is single screw in situ fixation and for unstable SCFEs urgent gentle reduction, decompression, and internal fixation.
How do you measure a SCFE slip angle?
The slip angle is calculated by subtracting the epiphyseal shaft angle of the normal hip from the slip side. Those less than 30 degrees are considered mild, between 30 and 50 degrees moderate, and greater than 50 degrees severe.
How do you know if you have slipped epiphysis?
Symptoms of Slipped Capital Femoral Epiphysis Limping. Mild pain in the hips, groin or around the knees. Severe pain that makes children stop putting weight on the leg that hurts. Stiffness in the hip.
What is the difference between SCFE and SUFE?
SCFE/ SUFE – Slipped Epiphysis Slipped Capital Femoral Epiphysis (SCFE) or Slipped Upper Femoral Epiphysis (SUFE) relates to the slipping of the neck of the femur (thighbone) within the socket (acetabulum). SCFE is a condition that appears to be on the increase in the UK and worldwide.
Which pain characteristic is associated with an unstable slipped capital femoral epiphysis?
In the more severe unstable SCFE, in which the femoral head has shifted abruptly, symptoms may include: Sudden onset of pain, often after a fall or injury. Inability to put weight on the affected leg.
Does SCFE cause avascular necrosis?
Background: An unstable slipped capital femoral epiphysis (SCFE) is associated with a high rate of avascular necrosis (AVN). Etiology of the AVN is not completely known and likely multifactorial.
What is the difference between SCFE and Sufe?
How do you draw a Southwick angle?
It is measured by drawing a line perpendicular to a line connecting two points at the posterior and anterior tips of the epiphysis at the physis. A third line is drawn down the axis of femur. The angle between the perpendicular line and the femoral shaft line is the angle. The angle is measured bilaterally.
What is Dunn view xray?
The Dunn view is a radiographic projection of the hip that demonstrates and examines the hip joint, femoral head, acetabulum, and particularly the relationship of the femoral head and acetabulum.
What is frog leg view xray?
The frog leg lateral view is a special radiograph of the pelvis to evaluate the hip. Some departments will perform this routinely instead of the AP pelvis view to reduce exposure and maintain high diagnostic accuracy 1.
Can SUFE be missed?
If the diagnosis of SUFE is delayed or missed, the condition can cause complications like osteonecrosis of the femoral head, chondrolysis, residual proximal femoral deformity, leg length discrepancy, degenerative arthritis and femoral-acetabular impingement in later life [4,5].
What does a slipped capital femoral epiphysis feel like?
With a stable SCFE, a person feels stiffness or pain in the knee or groin area. A stable SCFE usually causes the person to limp and walk with the foot turned outward. The pain and the limp typically tend to come and go, worsening with activity and getting better with rest.
What happens if SCFE is not treated?
Untreated SCFE may result in progressive deformity and pain, destabilization of the femoral epiphysis, and decreased range of motion of the hip joint.
What causes avascular necrosis of the femoral head in children?
Although no one knows exactly why AVN occurs, we do know that it is often associated with several underlying conditions such as previous chemotherapy, steroid use, sickle cell disease among others.
How do you measure a Southwick slip angle?
What is Dunn lateral view?
What is frog lateral view?