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 access
This journal offers immediate free access to its content, following the principle that providing free scientific knowledge to the public provides greater global democratization of knowledge.
The works are licensed under a Creative Commons Attribution Non-commercial 4.0 International license.
Nascer e Crescer – Birth and Growth Medical Journal do not charge any submission or processing fee to the articles submitted.