Pediatric Hip
A 13-year-old obese boy presents with 3 weeks of left groin and thigh pain with an antalgic gait. The pain is worse with activity and he has been limping. Examination reveals an externally rotated leg at rest, limited internal rotation and abduction, and obligate external rotation with hip flexion. He is afebrile with normal inflammatory markers. Lateral hip radiograph shows posterior and inferior displacement of the femoral epiphysis. Regarding slipped capital femoral epiphysis (SCFE):
Mark each as TRUE or FALSE
SCFE is the most common adolescent hip disorder; it occurs when the femoral epiphysis displaces post...
Clinical features include hip, groin, or knee pain (referred via obturator nerve), antalgic gait, ex...
SCFE is common in young children; the epiphysis slips anteriorly and superiorly; obesity is protecti...
Radiographs must include AP and lateral (frog-leg or cross-table lateral) views; signs include Klein...
Treatment is urgent surgical stabilization with in-situ screw fixation to prevent further slip; sing...
Answer the questions to see explanations
Click T (True) or F (False) for each option