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.
What is Imhauser osteotomy?
Objective: Surgical correction of deformities of the proximal femur caused by epiphyseal displacement by restorative (usually inflection and internal rotation) osteotomy at the intertrochanteric level with the aim of reducing both the offset disorder of the coxal end of the femur that is causing impingement and the …
Is SCFE Salter Harris?
Slipped capital femoral epiphysis (SCFE) is a Salter-Harris type 1 injury involving the proximal femoral physis which results in eventual slippage of the proximal femoral epiphyses in relation to the metaphysis. The exact etiology of SCFE is disputable.
How is Southwick angle calculated?
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.
Can SUFE be missed?
SUFE/SCFE can easily be missed as presentation may include vague symptoms such as vague knee pain or insidious limp. The majority occur unilaterally, but it can be bilateral in 20-40% of cases.
Is SUFE an emergency?
If your child has groin, hip, thigh and/or knee pain, see your GP. If your child has all of the symptoms of SUFE (above), make sure they do not place any weight on either leg (they should be carried, or use a wheelchair), and go to a hospital emergency department as soon as possible.
How is slipped capital femoral epiphysis treated?
How Is Slipped Capital Femoral Epiphysis Treated? SCFE is always treated with surgery to stabilize the growth plate that slipped. But even before the surgery, the doctor will try to prevent any further slipping by encouraging rest and the use of crutches to avoid putting weight on the affected leg.
Can SCFE happen again?
In SCFE, the “ball” (called the epiphysis) slips off of the top part of the femur, almost the way a scoop of ice cream might slip off a cone. Sometimes this happens suddenly — after a fall or sports injury, for example. But it can also happen gradually, with no previous injury.
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.
What does SUFE look like?
What do they look like – clinically? A child presenting with a chronic SUFE will generally walk with an antalgic gait, out-toeing and some shortening of the affected limb. If the slip is acute and unstable, these children cannot walk. The child may complain of vague pain in the groin, thigh or knee.
How long does it take to recover from SUFE surgery?
Your child won’t be able to stand with all their weight on the affected side for about six weeks, and will need to use crutches or a wheelchair for that time. Your child will need to stay home from kindergarten or school until advised by your child’s surgeon.
How long does it take to recover from SCFE surgery?
In general, expect that your child will need crutches or a walker for up to about four weeks after surgery for stable SCFE and for at least six to eight weeks for unstable SCFE. Your child will work with a physical therapist to help strengthen leg and hip muscles and improve range of motion.
Can SCFE happen again after surgery?
If SCFE is caught early, there is a good chance for full recovery, especially if SCFE is stable. Research suggests that 30% to 60% of children diagnosed with SCFE will have it occur later in the other leg. This means close follow up and monitoring is important. Sometimes surgery is done to prevent this from occurring.
Can you walk after SCFE surgery?
Activity. After the surgery, your child will need crutches or a walker for about 4 to 6 weeks. The type of SCFE and the surgical procedure done will determine your child’s weight-bearing status on the operated leg. A physical therapist will teach your child how to use crutches before he goes home.
How long does SCFE take to heal?
What is neck shaft angle of femur?
Interpretation. A known normal range of the caput-collum-diaphyseal (CCD) angle is generally considered 125°-135° 3, with a global mean of 126.4° and standard deviations are approximately 5.6° measured with a 360° goniometer in anatomical studies 4.
Is SCFE surgery painful?
The pain is similar to what might be felt with a broken bone. The child probably won’t be able to move the injured leg. If you think your child has unstable SCFE, don’t force the leg to move. That could make the thigh bone slip even more.