Slipped Epiphysis (Subscribe)
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Slipped Capital Femoral Epiphysis Wheeless
Wheeless' Textbook of Orthopaedics
- slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; - arises from mechanical and constitutional factors; - pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; - position of growth plate of proximal femur normally changes from horizontal to to obliqueduring preadolescence and adolescence; - wt increase that occurs during adolescent growth spurt puts extra strain on the growth plate; - remember that bilateral involvement is occurs in over 25% of patients - often within 6 months of the other side;
- slip of the captial femoral epiphysis occurs with in a narrow window of physiologic maturity of the growing child; - arises from mechanical and constitutional factors; - pts may have underlying endocrine dz (such as hypothyroidism) delayed puberty & bone age; - position of growth plate of proximal femur normally changes from horizontal to to obliqueduring preadolescence and adolescence; - wt increase that occurs during adolescent growth spurt puts extra strain on the growth plate; - remember that bilateral involvement is occurs in over 25% of patients - often within 6 months of the other side;
Slipped upper femoral epiphysis in an amenorrhoeic athlete
BMJ. 1989 September 16; 299(6701): 720–721
R. L. Wolman, M. G. Harries, and I. Fyfe (Full text)
R. L. Wolman, M. G. Harries, and I. Fyfe (Full text)
Slippped Epiphysis PubMed Search
Search string "Epiphyses, Slipped"[Majr] yielded 1220 articles July 2007
slipped capital femoral epiphysis (SCFE)
slipped capital femoral epiphysis (SCFE)
