Presentation
Fall at school. Pain to left hip. Unable to weightbear.
Patient Data
Age: 12 years
Gender: Male
From the case:
Slipped upper femoral epiphysis
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AP radiograph is abnormal. There is widening of the physis but no displacement. The frog view highlights the slipped femoral epiphysis.
Case Discussion
This patient had a left hip x-ray because they presented with a focal trauma. In almost all circumstances, in this age group, it is more sensible to perform a pelvic radiograph.
The frog-view confirms the diagnosis as slipped capital (upper) femoral epiphysis.
The inability to weightbear is a concerning feature and in patients with a slip means that it is almost certainly unstable and requires urgent orthopedic assessment.
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