Hip Disorders
A 13-year-old obese boy presents with a 3-week history of progressive left hip and knee pain with a limp. He is in the 95th percentile for weight. Examination reveals obligatory external rotation with hip flexion, limited internal rotation, and an antalgic gait. Radiographs show posterior and inferior displacement of the femoral epiphysis with a Southwick angle of 45 degrees. Regarding slipped capital femoral epiphysis (SCFE):
Mark each as TRUE or FALSE
SCFE occurs through the hypertrophic zone of the physis (zone of provisional calcification); risk fa...
Classification includes stable (able to weight bear with or without crutches) versus unstable (unabl...
SCFE occurs through the reserve zone of the physis; risk factors include underweight, female predomi...
Treatment for stable SCFE is in-situ pinning with a single cannulated screw placed perpendicular to ...
Complications include avascular necrosis (AVN) - rare in stable slips (less than 2%), but up to 50% ...
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Click T (True) or F (False) for each option