The radiographic series used to investigate varies depending on institution:ĪP and frog-leg: two view assessment is common, often done bilateral as high number of these injuries are bilateral (as well as the added benefit of comparing to a normal side) 11 In all situations, especially when imaging children, the fewest number of radiographs, with the smallest exposed area is performed. As the physis becomes more oblique, shear forces across the growth plate increase and result in an increased risk of fracture and resultant slippage. Also, the axis of the physis alters during growth and moves from being horizontal to being oblique. Slipped upper femoral epiphysis is a type I Salter-Harris growth plate injury due to repeated trauma on a background of mechanical and probably hormonal predisposing factors.ĭuring growth, there is a widening of the physeal plate which is particularly pronounced during a growth spurt. Vague groin and thigh pain for more than 3 weeks, may progress to a limpĪcute-on-chronic: the prodromal symptoms have been present for more than 3 weeks, but there is a sudden worsening of the symptoms, including becoming unable to bear weight when previously able to Regarding the onset of symptoms, SCFE is usually classified into three groups 10:Īcute: severe hip pain and inability to bear weight, usually after a minor trauma, with prodromal symptoms such as vague groin or thigh pain for up to 3 weeks before the acute presentationĬhronic: represents the most common presentation. It's important to understand that this refers to clinical presentation, but even the patient initially able to bear weight is at risk of evolving to an acute displacement if bed rest is not established 10. A patient with a stable slip can tolerate weight bearing. Patients with an unstable slip present similarly to those with an acute femoral fracture and are unable to bear weight on the affected limb. Patients may present in different ways depending on the epiphysis stability and the duration of the onset of the symptoms. Risk factorsĬonditions that may predispose to SUFE include: 6, 2022.Slipped upper femoral epiphysis is more common in boys than girls and more common in African Caribbean patients than Caucasian patients. The age of presentation is somewhat dependent on gender with boys presenting later (10-17 years) than girls (8-15 years) 2. Healthy eating: Vitamins and minerals for older adults.Quality of life and psychological consequences in elderly patients after a hip fracture: A review. Update on medical management of acute hip fracture. Centers for Disease Control and Prevention. American Academy of Orthopaedic Surgeons. Hip fractures in adults: Epidemiology and medical management. If you don't feel steady when you walk, ask a health care provider or occupational therapist whether these aids might help. Have an eye exam every other year, or more often if you have diabetes or an eye disease. Make sure all rooms and passageways are well lit. Remove throw rugs, keep electrical cords against the wall, and clear excess furniture and anything else that could trip people. Drinking too much alcohol can also impair balance and increase the risk of falling. Tobacco and alcohol use can reduce bone density. Balance training also is important to reduce the risk of falls since balance tends to deteriorate with age. Exercise also increases overall strength, decreasing the risk of falling. Weight-bearing exercises, such as walking, help maintain peak bone density. Exercise to strengthen bones and improve balance.In general, men and women age 50 and older should consume 1,200 milligrams of calcium a day, and 600 international units of vitamin D a day. To avoid falls and to maintain healthy bone: The same measures adopted at any age might lower the risk of falls and improve overall health. Healthy lifestyle choices in early adulthood build a higher peak bone mass and reduce the risk of osteoporosis in later years.
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