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Paediatrics
intermediate
X-Type

Slipped Capital Femoral Epiphysis

Paediatric Hip

A 13-year-old obese boy presents with a 3-week history of left groin and knee pain with a limp. He is able to weight-bear but walks with the affected leg externally rotated. On examination, there is limited hip internal rotation and obligatory external rotation with hip flexion. He is afebrile with normal inflammatory markers. Regarding slipped capital femoral epiphysis (SCFE):

Mark each as TRUE or FALSE

A

SCFE occurs when the femoral epiphysis slips posteroinferiorly relative to the metaphysis through th...

B

Clinical signs include externally rotated gait, limited internal rotation, obligatory external rotat...

C

The epiphysis slips anterosuperiorly; SCFE affects thin prepubertal children; internal rotation is i...

D

Classification includes stable (able to weight-bear) versus unstable (unable to weight-bear with or ...

E

Treatment for stable SCFE is in-situ screw fixation (single cannulated screw, central placement, per...

Answer the questions to see explanations

Click T (True) or F (False) for each option