Imaging clinical case
DOI:
https://doi.org/10.25753/BirthGrowthMJ.v32.i2.24637Keywords:
hip, obesity, pre-adolescent, slipped capital femoral epiphysis, thigh painAbstract
A nine-year-old girl with obesity and subclinical hypothyroidism presented with pain in the right thigh with inability to bear weight and associated lameness. These complaints had been present for one month but had recently worsened. There was no history of trauma, fever, or recent infections.
On objective examination, she presented with pain on mobilization of the right thigh that worsened with hip rotation and flexion. Bilateral hip radiographs were obtained and showed right-sided femoral offset between the epiphysis and the neck. These findings were consistent with the diagnosis of slipped capital femoral epiphysis.
The patient was managed with in situ fixation and prophylactic fixation of the contralateral hip, with gradual improvement.
Downloads
References
Otani T, Kawaguchi Y, Marumo K. Diagnosis and treatment of slipped capital femoral epiphysis: Recent trends to note. Journal of Orthopaedic Science. 2018;23:220-8.
Aprato A, Conti A, Bertolo F, Massè A. Slipped capital femoral epiphysis: current management strategies. Orthopedic Research and Reviews. 2019;11:47–54.
Peck D. Slipped Capital Femoral Epiphysis: Diagnosis and Management. American Family Physician. 2010 Aug 1;82(3):258-262.
Uvodich M, Schwend R, Stevanovic O, Wurster W, Leamon J, Hermanson A. Patterns of Pain in Adolescents with Slipped Capital Femoral Epiphysis. The Journal of Pediatrics. 2019 Mar;206:184-9.
Martinez-Álvarez S, Martínez-González C, Gorozarri C, Abril J, Epeldegui T. Epifisiolisis de la cabeza femoral. Rev Esp Cir Ortop Traumatol. 2012;56(6):506-14.
Johns K, Tavarez M. Slipped Capital Femoral Epiphysis. 2020. Available from: https://www.ncbi.nlm.nih.gov/books/NBK538302.
Rahme D, Comley A, Foster B, Cindy P. Consequences of diagnostic delays in slipped capital femoral epiphysis. Journal of Pediatric Orthopaedics B. 2006;15:93–7.
Barros C, Pinheiro R, Ribeiro E, Duarte R, Varanda P, Maia R. Epifisiólise femoral proximal - Estudo retrospectivo de resultados a longo prazo após fixação in situ. Rev Port Ortop Traum. 2019;27(2):70-8.
Loder R, Richards B, Shapiro P, Reznick L, Aronson D. Acute slipped capital femoral epiphysis: the importance of physeal stability. J Bone Joint Surg Am. 1993;75-A:1134-40.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Diana Henriques Pinto, Renato Carlos do Vale Ramos, Mafalda Santos

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright and Authors' Rights
All articles published in Nascer e Crescer - Birth and Growth Medical Journal are Open Access and comply with the requirements of funding agencies or academic institutions. For use by third parties, Nascer e Crescer - Birth and Growth Medical Journal adheres to the terms of the Creative Commons License "Attribution - Non-Commercial Use (CC-BY-NC)".
It is the author's responsibility to obtain permission to reproduce figures, tables, etc. from other publications.
Authors must submit a Conflict of Interest statement and an Authorship Form with the submission of the article. An e-mail will be sent to the corresponding author confirming receipt of the manuscript.
Authors are permitted to make their articles available in repositories at their home institutions, provided that they always indicate where the articles were published and adhere to the terms of the Creative Commons license.