1, 2, 8 Realignment of the proximal femur, as well as restoration of the anterior head–neck offset, has been shown to improve hip clinical outcomes. The modified Dunn procedure is an open realignment of the capital femoral epiphysis performed through a surgical dislocation approach.
Slipped capital femoral epiphysis (SCFE) (Figure 2) is the most common adolescent hip disorder,6 affecting, on average, five to six of every 100,000 children and adolescents.
This case series illustrated the capacity to induce instability of the hip joint following open reduction using the modified Dunn approach for severe, long-standing SCFE deformity.
2 A variety of treatment strategies have been described, including operative and non-operative management. 3-5 ISSF has risen above all other strategies as a reliable and safe procedure with a low complication rate.
Drugs.com provides accurate and independent information on more than 24,000 prescription drugs, over-the-counter medicines and natural products. Slipped Capital Femoral Epiphysis, SCFE Separation of proximal femoral epiphysis through growth plate, such that femoral head is displaced medially & posteriorly to femoral neck. Slipped capital femoral epiphysis (SCFE) is a posterior or medial displacement of the proximal epiphysis, which typically occurs in the overweight adolescents and is of 2 main types: stable SCFE, in which the patient can ambulate, and unstable SCFE in which the patient cannot. Slipped capital femoral epiphysis is the most common hip abnormality in the adolescent patient. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. A review of the literature on the topic of SCFE reveals a wealth of research that is unfortunately limited to mostly Level IV or V studies. Nursemaid's elbow is a common injury of early childhood that results in subluxation of the annular ligament due to a sudden longitudinal traction applied to the hand. Risks include obesity, age 11-13, male, of African American descent. Note: Care must be taken to rule out slipped capital femoral epiphysis (SCFE).
Data sources include IBM Watson Micromedex (updated 4 May 2020), Cerner Multum™ (updated 2 June 2020), …
Treatment is usually closed reduction with either a supination or a hyperpronation technique.
If reduction is not required, in situ stable fixation may be applied.
Fractures can be distinguished from SCFE by a detailed history supplemented by appropriate x-ray examination and assessment; in …
18 Like the original Dunn osteotomy, the modified Dunn corrects a slipped capital femoral epiphysis (SCFE) at the site of maximal deformity (ie, the physis). 4 The procedure can be performed on both unstable SCFEs and stable SCFEs. Pistol grip deformity after slipped capital femoral epiphysis (SCFE) can cause anterior impingement leading to pain, cartilage and labral damage, and eventual osteoarthritis.
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