Tuesday, May 9, 2017

Slipped Capital Femoral Epiphysis mnemonic

Hello!

Slipped Capital Femoral Epiphysis mnemonic:

S - Shortening of the limb (Therefore, limp!)
C -
F - Flexion and internal rotation limited
E - External rotation of the hip is seen

S - Surgery (screw fixation)
C - ice Cream melting appearance
F - Fat (Obesity is a risk factor)
E - Endocrine disorders

Here are my notes:

SCFE presentation:
SCFE causes shortening of the limb and therefore, causes limping.
Groin and thigh pain is common, referred pain to knee maybe present.
There is loss of hip internal rotation, abduction, and flexion of the hip.
Obligatory external rotation during passive flexion of hip is seen.
There maybe an externally rotated foot on physical exam.

Radiology:
SCFE has been compared to a scoop of ice cream (top of femoral head) slipping off an ice cream cone (remainder of femur bone).

Risk factors:
Obesity and endocrine disorders such as hypothyroidism, panhypopitutarism, hypogonadism are risk factors for SCFE.

Treatment: 
In situ percutaneous screw fixation for slipped capital femoral epiphysis (SCFE) is treatment. It is done to avoid avascular necrosis of the hip and chondrolysis (complications)

That's all!
-IkaN

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