Obstetrics notes

Apr 16th, 2015
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By Bashar AlSaifyI.Slipped capital femoralepiphysis (SCFE)II.Traumatic hipdislocationIII.Osteoarthritisaka "Slipped upper femoralepiphysis" is a medical term referringto slippage of the overlyingepiphysis of proximal femurposteriorly and inferiorlydue to weakness of thegrowth plate. Most often, itdevelops during periods ofA Klein line is a line drawn alongthe superior border of the femoralneck that would normally passthrough a portion of the femoralhead. If not, slipped capitalfemoral epiphysis is diagnosed.The patient's left hip (arrow)shows that a slight shift of thehead of the femur occurredthrough the growth plate.1. Risk Factorsmost common in the adolescent period(boys aged 10-16 y, girls aged 12-14 y).Males have 2.4 times the risk as females.Obesity is a risk factor because it placesmore shear forces around the proximalgrowth plate in the hip at risk.Bilateral slippage is common (but the lefthip is affected more commonly than the2. Etiology1. Overweight2. Endocrine disorders (e.g adiposogenitaldystrophy, primary or secondary hypothyroidism).3. Deficiency or increase of androgens.4. Acute trauma. Slipping of the upper femoral epiphysis occurspredominantly in obese children withunderdeveloped sexual characteristics and lesscommonly, in tall, thin children.3. Pathology The slip occurs in the hypertrophic zone of thegrowth plate. 70% slow and progressive (This is gradual, withs

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