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| | eMedicine - Slipped Capital Femoral Epiphysis : Article by Brent Adler, MD |
 | | By convention, position and alignment in SCFE is described by referring to the relationship of the proximal fragment (capital femoral epiphysis) to the normal distal fragment (femoral neck). |
 | | Because the physis has yet to close, the blood supply to the epiphysis still should be derived from the femoral neck; however, this late in childhood, the supply is tenuous and frequently lost after the fracture occurs. |
 | | The nutrient vessels of the epiphysis are beginning to penetrate the physis as it closes, and when the physis is disrupted, avascular necrosis of the head may result, particularly if the head is manipulated. |
| www.emedicine.com /radio/topic641.htm (2050 words) |
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