Slipped upper femoral epiphysis

Case contributed by Dr Jeremy Jones

Presentation

Fall at school. Pain to left hip. Unable to weightbear.

Patient Data

Age: 12 years
Gender: Male
X-ray

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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Case information

rID: 70360
Published: 14th Aug 2019
Last edited: 14th Aug 2019
System: Paediatrics
Inclusion in quiz mode: Included
Institution: NHS Lothian

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