Hip Disorders
A 12-year-old obese boy presents with 2 weeks of progressive left groin and thigh pain. He can walk with a limp. Radiographs show a moderate slip of the left capital femoral epiphysis with a slip angle of 40 degrees. The right hip appears normal. He has no endocrine history, and his triradiate cartilage is open bilaterally. The paediatric orthopaedic surgeon discusses classification, immediate management, and the controversy regarding prophylactic contralateral pinning. Regarding SCFE treatment principles:
Mark each as TRUE or FALSE
The Loder classification (stable vs unstable) is based on ability to weight-bear: stable SCFE patien...
Stable SCFE is treated with in-situ percutaneous screw fixation WITHOUT attempted reduction; manipul...
Aggressive closed or open reduction should be performed for all SCFE regardless of stability to achi...
Unstable SCFE carries 20-50% AVN risk regardless of treatment because the vascular insult has alread...
Prophylactic pinning of the contralateral hip is controversial; high-risk factors favoring prophylax...
Answer the questions to see explanations
Click T (True) or F (False) for each option