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Slipped capital femoral epiphysis (SCFE or skiffy, slipped upper femoral epiphysis, SUFE or souffy, coxa vara adolescentium) is a medical term referring to a fracture through the growth plate (physis), which results in slippage of the overlying end of the femur .
It is triangular in shape and somewhat flattened. The ligament is implanted by its apex into the antero superior part of the fovea capitis femoris and its base is attached by two bands, one into either side of the acetabular notch, and between these bony attachments it blends with the transverse ligament. [2]
The fovea capitis is located "slightly posterior and inferior to the center of the articular surface of the femoral head (Cerezal)" Unlike the head of the femur, the fovea capitis lacks any hyaline cartilage. The fovea capitis may contain vascular canals in two-thirds of individuals, but "their contribution to femoral head vascularity varies.
Klein's line or the line of Klein is a virtual line that can be drawn on an X-ray of an adolescent's hip parallel to the anatomically upper edge of the femoral neck.It was the first tool to aid in the early diagnosis of a slipped capital femoral epiphysis (SCFE), which if treated late or left untreated leads to crippling arthritis, leg length discrepancy and lost range of motion.
The positive Drehmann sign is a typical clinical feature in slipped capital femoral epiphysis (SCFE), the impingement syndrome of the acetabulum-hip, or in osteoarthritis of the hip joint. [ 3 ] References
A femoral fracture is a bone fracture that involves the femur.They are typically sustained in high-impact trauma, such as car crashes, due to the large amount of force needed to break the bone.
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The acetabulum is also home to the acetabular fossa, an attachment site for the ligamentum teres, a triangular, somewhat flattened band implanted by its apex into the antero-superior part of the fovea capitis femoris. The notch is converted into a foramen by the transverse acetabular ligament; through the foramen nutrient vessels and nerves ...