Slipped Upper Femoral Epiphysis Flashcards
What is another term for slipped upper femoral epiphysis (SUFE)?
Slipped capital femoral epiphysis
What is slipped upper femoral epiphysis?
It is defined as a condition in which the metaphysis of the femur displaces anteriorly and superiorly - leading to posterior-inferior displacement of the capital femoral epiphysis
What four risk factors are assoicated with slipped upper femoral epiphysis?
Children, 10 – 15 Years Old
Male Gender
Obesity
Hip Trauma
What are the five clinical features of slipped upper femoral epiphysis?
Hip/Groin/Medial Thigh/Knee Pain
Leg External Rotation
Loss of Leg Internal Rotation
Limping
Trendelenburg Gait
What investigation is used to diagnose slipped upper femoral epiphysis?
Pelvic X-Rays
What pelvic x-ray scan views are used to diagnose slipped upper femoral epiphysis?
Bilateral AP View
Bilateral Frog-leg Lateral View
What are the two features of slipped upper femoral epiphysis on pelvic x-ray scans?
Femoral Head Subluxation
Trethowan’s Sign
What is Threthowan’s sign?
It is when Klein’s line passes above the femoral head
What is Klein’s line?
It is a virtual line tangential to the superior aspect of the femoral neck, which should normally intersect with the epiphysis of the femoral head
What is the surgical management option of slipped upper femoral epiphysis?
Internal Fixation
What is internal fixation of slipped upper femoral epiphysis?
It involves correction of the femoral head position, with insertion of a single cannulated screw in the centre of the epiphysis – in order to maintain this corrected position
What are the five complications associated with slipped upper femoral epiphysis?
Avascular Necrosis
Chondrolysis
Osteonecrosis
Osteoarthritis
Osteomyelitis
