Imaging clinical case


  • Diana Henriques Pinto Department of Pediatrics, Centro Hospitalar Entre Douro e Vouga
  • Renato Carlos do Vale Ramos Department of Orthopedics, Unidade 2, Centro Hospitalar Vila Nova de Gaia/Espinho
  • Mafalda Santos Department of Pediatric Orthopedics, Unidade 2, Centro Hospitalar Vila Nova de Gaia/Espinho



hip, obesity, pre-adolescent, slipped capital femoral epiphysis, thigh pain


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.


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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:

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.




How to Cite

Henriques Pinto D, do Vale Ramos RC, Santos M. Imaging clinical case . REVNEC [Internet]. 2023Sep.14 [cited 2024Jun.20];32(2):153-5. Available from:



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