What is the best view to diagnose SCFE?
Standard radiography is the first-choice imaging modality in patients with suspected SCFE. Usually, anteroposterior (AP) pelvis and frog-lateral views of both hips are obtained (Fig. 1). Radiographs of the contralateral side should always be included to rule out the bilateral involvement of SCFE.
What does SUFE feel like?
Signs and symptoms of a SUFE pain in their groin, hip, thigh and/or knee – some children only have knee pain, even though the condition affects the hip. a limp, or holding their leg in an unusual resting position. reduced movement of their hip joint.
What is Lauenstein projection?
Lauenstein projection is a radiographic positioning used to take an x-ray image of patient’s hip joint.
What is frog leg view xray?
The frog leg lateral view is a special radiograph of the pelvis to evaluate the hip. Some departments will perform this routinely instead of the AP pelvis view to reduce exposure and maintain high diagnostic accuracy 1.
How rare is SCFE?
Slipped capital femoral epiphysis (SCFE) is the most common hip disorder in adolescents, occurring in 10.8 per 100,000 children. SCFE usually occurs in those eight to 15 years of age and is one of the most commonly missed diagnoses in children.
Can SCFE happen again?
In SCFE, the “ball” (called the epiphysis) slips off of the top part of the femur, almost the way a scoop of ice cream might slip off a cone. Sometimes this happens suddenly — after a fall or sports injury, for example. But it can also happen gradually, with no previous injury.
How painful is SCFE?
A patient with a stable SCFE will usually have intermittent pain in the groin, hip, knee and/or thigh for several weeks or months. This pain usually worsens with activity. The patient may walk or run with a limp after a period of activity.
What does SCFE pain feel like?
With a stable SCFE, a person feels stiffness or pain in the knee or groin area. A stable SCFE usually causes the person to limp and walk with the foot turned outward. The pain and the limp typically tend to come and go, worsening with activity and getting better with rest.
What Is hip DDH?
Developmental dysplasia of the hip (DDH) is a condition where the “ball and socket” joint of the hip does not properly form in babies and young children. It’s sometimes called congenital dislocation of the hip, or hip dysplasia. The hip joint attaches the thigh bone (femur) to the pelvis.
What is the other name of frog leg view?
The patient rests in a supine position and externally rotates, flexes, and abducts the femur (the “frog-leg” position, see figure below).
What is frog leg syndrome?
“Red-leg” syndrome is a widespread infection seen in frogs, toads, and salamanders. It is recognized by the redness on the underside of the amphibian’s legs and abdomen, and is generally due to Aeromonas hydrophila, an opportunistic bacterial pathogen. However, viruses and fungi may also cause similar reddening.
Is SCFE a disability?
SCFE occurs through the unfused growth plate of the proximal femur where the femoral head slips posteriorly on the femoral neck. Serious consequences of the problem, such as gait disturbance, post-traumatic arthritis, chondrolysis and osteonecrosis of the femoral head can occur, leading to lifelong disability.
Which is the most important X-ray view for SCFE?
The diagnosis is confirmed with X-rays. The X-ray includes the entire pelvis, so that the hips can be compared. The most important view is the “frog lateral.” Figure – Red arrow points to the SCFE on the right hip on the “frog lateral” X-ray view. This problem must be treated with surgery.
What should the distance be for a scoliosis X-ray?
Typically, a scoliosis x-ray should be taken from a certain distance; the machine should be 72 inches away from the patient’s body. If the X-ray machine is closer than 72 inches, what can happen is the scoliosis is magnified, making the curve appear slightly larger.
How is pathology demonstrated when taking scoliosis series?
Pathology Demonstrated when taking scoliosis series in AP or PA: Degree and severity of scoliosis are shown. When taking scoliosis series it is usually taken two AP or PA images for comparison one is in erect position and one is in recumbent patient position.
Can a scoliosis X-ray change the results?
Another common issue that can alter scoliosis X-ray results is the position the patient is in while the X-ray is being taken. Sometimes, X-rays are taken while a patient is leaning back against the machine. This is not an appropriate position, as it can alter the scoliosis.
