Slipped capital femoral epiphysis

被引：1

作者：

Berg, Sebastian ^{[1
]}

Kuminack, K. F. ^{[2
]}

机构：

[1] St Josefskrankenhaus Freiburg, Kinderradiol, Sautierstr 1, D-79104 Freiburg, Germany

[2] Univ Klin Freiburg, Kinderorthopad, Freiburg, Germany

来源：

RADIOLOGIE | 2023年 / 63卷 / 10期

关键词：

Hip joint; Southwick angle; Frog leg lateral view; Magnetic resonance imaging; Osteonecrosis of the femoral head; ANTERIOR PHYSEAL SEPARATION; HIGH-RISK;

D O I：

10.1007/s00117-023-01177-w

中图分类号：

R8 [特种医学]; R445 [影像诊断学];

学科分类号：

1002 ; 100207 ; 1009 ;

摘要：

Background: In slipped capital femoral epiphysis (SCFE), the femoral head slides in an anterosuperior direction along the growth plate. The femoral head remains in the acetabulum. The pathogenesis of SCFE is multifactorial. An important predisposing factor is obesity.Problem: Epiphysiolysis can compromise the blood supply to the epiphysis and osteonecrosis of the femoral head may result.Diagnostics and prognosis: Conventional radiography represents the first diagnostic step. The long-term prognosis of the disease depends on the residual deformity of the femoral head and in the worst case may result in early osteoarthritis of the hip joint.

引用

页码：745 / 748

页数：4

共 5 条

[1] Anterior physeal separation - A sign indicating a high risk for avascular necrosis after slipped capital femoral epiphysis [J].

Ballard, J ;

Cosgrove, AP .

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, 2002, 84B (08) :1176-1179

[2] Southwick angle measurements and SCFE slip severity classifications are affected by frog-lateral positioning [J].

Jones, Carly E. ;

Cooper, Anthony P. ;

Doucette, Jonathan ;

Buchan, Lawrence L. ;

Wilson, David R. ;

Mulpuri, Kishore ;

d'Entremont, Agnes G. .

SKELETAL RADIOLOGY, 2018, 47 (01) :79-84

[3] Klein Line on the Anteroposterior Radiograph Is Not a Sensitive Diagnostic Radiologic Test for Slipped Capital Femoral Epiphysis [J].

Pinkowsky, Gregory J. ;

Hennrikus, William L. .

JOURNAL OF PEDIATRICS, 2013, 162 (04) :804-807

[4]

Silva Mariana S, 2019, Radiographics, V39, P1232, DOI 10.1148/rg.2019194008

[5] Presence and magnitude of anterior physeal separation in slipped upper femoral epiphysis helps identifying those at high risk for avascular necrosis [J].

Tucker, A. ;

Cosgrove, A. ;

Ballard, J. .

INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED, 2022, 53 (12) :4020-4027

← 1 →