Slipped capital femoral epiphysis (SCFE) SCFE is a hip disease of early adolescence (10 to 15 years old), characterized by idiopathic posterior and inferior slippage of the capital femoral epiphysis on the femoral neck metaphysis. Complications include avascular necrosis of the femoral head or chondrolysis. Anteroposterior and frog-leg views of both hips should be obtained …
Legg Calve Perthes disease Legg Calve Perthes disease refers to idiopathic osteonecrosis of the femoral head, usually affecting children 3 to 12 years old with a mean age of 7 years. Radiographic findings include a small femoral head epiphysis, which may become fragmented, and widening of the articular space, which may be due to an …
How may subtle supracondylar fractures of the elbow be diagnosed? Pediatric elbow fractures often occur in the supracondylar region, where the humerus is relatively flat. The anterior humeral line, drawn on the lateral view of the elbow along the anterior humerus, normally intersects the middle third of the capitellum. This intersection is likely to be …
How may subtle supracondylar fractures of the elbow be diagnosed Read More »
What are the most common fractures of the wrist or forearm in children? Distal radius fractures are the most common fractures in children. Scaphoid fractures are the most common fractures in adolescents that are skeletally mature.
What are secondary ossification centers? Secondary ossification centers appear and then fuse later with the primary ossification center as seen on radiographs at predictable times during skeletal maturation. For example, multiple secondary ossification centers are seen around the elbow, which appear at different ages. Their usual sequence can be remembered by the mnemonic CRITOE: C apitellum (1 …
How are fractures of the physis classified? Physeal injuries are classified in the Salter-Harris classification, increasing in severity from I to V. Type I is a fracture through the physis. The fracture line in type II includes the metaphysis and physis. Type III fracture includes the epiphysis and the physis. Type IV fracture involves the …
Significance of fractures of the physis The cartilaginous physis is vulnerable to injury, especially at its attachment to the metaphysis. Disruption of the physis may result in slower growth and premature fusion, leading to limb length discrepancy.