What is FBEK?
Femur upper end epiphyse shifts are one of the important diseases of the child and the adolescene age group. The bone parts that are responsible for the growth in the ends of the bones are called epiphyses. The deterioration of the relationship of the femur bone with the body of the femur bone, which is in the junction with the hip, is called the femur head epiphyse shift.
Who Has FBEK?
This condition occurs most often in adolescent boys who are overweight. Children with endocrinological disorders have a higher incidence of this disease.Complaints can start as hip pain and knee pain. These complaints can suddenly start as severe pain. It can be in the form of increasing pain within months.
How is FBEK Diagnosed?
Anamnesis and examination are very important for diagnosis. When do the pains start in anamnesis? It is recommended to evaluate the height weight index, whether it is accompanied by hormonal disorder. In the examination, limitations in hip movements, evaluation of the patient’s walking pattern, limping, tabs should be taken into consideration. Besides all this, it should be remembered that the disease can be watched painlessly.
X-ray is the most important imaging tool that helps us in diagnosis finalization. The radiography taken should be taken in full ap and lateral (frog) of the pelvis. In the X-ray, we wait for the parallel line drawn from the outer edge of the femur neck to cut off the femur head. If such an intersection does not happen, the head of the femur may mention epiphyse slippage. The line drawn is called the klein line, and this finding is called the threthowan finding. Mri is more useful in early diagnosis of the disease than X-rays, but many patients see a doctor in the middle and advanced stages.
Evreleme’s FBEK:
Phase 1:0-33% shift
Phase 2 :33-66% shift
Phase 3: More than 66% slippage
What is done in FBEK Treatment?
When diagnosed, the growth cartilage must be fixed with 1 or 2 screws to prevent the growth cartilage from slipping. This disease can be seen bilaterally in 17-35% of the time. Especially in people with hormonal diseases, this rate increases. Prophylactic operation on the other side is a matter of debate. In addition, necessary steps should be taken to start the treatment related to the hormonal disorder that accompanies the child.
FBEK Complications: Avascular necrosis and chondrolysis are the most common complications in untreated cases. It should be noted that these two situations can occur even if treatment is provided. These complications can lead to permanent hip damage. Larger surgical procedures may be required to correct it in the future.
FBEK Complications: Avascular necrosis and chondrolysis are the most common complications in untreated cases. It should be noted that these two situations can occur even if treatment is provided. These complications can lead to permanent hip damage. Larger surgical procedures may be required to correct it in the future.