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Slipped capital femoral epiphysis

Case DC - MedPix

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Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Slipped capital femoral epiphysis

History: A 14 year old male presents with right hip pain and walking with a limp for the past 3 months. The patient has constant internal rotation of the hip while sitting and laying supine, and hip flexion is severely limited.

Findings: AP view of the pelvis without prior studies for comparison in this skeletally immature individual, demonstrates approximately 2.8 cm superior subluxation of the right femoral neck on the femoral head and approximately 1.3 cm of superior subluxation of the left femoral neck on the left femoral head. There is a small amount of sclerosis at the bilateral femoral epiphysis. There is also an area of increased sclerosis at the right femoral neck, slightly more distal than the epiphysis. There is a small, lucent lesion at the medial distal femoral diaphysis. This lesion demonstrates a short zone of transition with no periosteal or soft tissue reaction. The remainder of the bones and soft tissues are unremarkable.

Ddx: 1. Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic. 2. Increased sclerosis of the right femoral neck just distal to the femoral epiphysis may be stress reaction vs. superimposition of shadows. 3. Likely fibrous cortical defect of the distal femoral diaphysis.

Dxhow: Surgery

No MeSH data available.


Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic.
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MPX1168_synpic20744: Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic.


Slipped capital femoral epiphysis

Case DC - MedPix

Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1168&req=5

MPX1168_synpic20744: Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Slipped capital femoral epiphysis

History: A 14 year old male presents with right hip pain and walking with a limp for the past 3 months. The patient has constant internal rotation of the hip while sitting and laying supine, and hip flexion is severely limited.

Findings: AP view of the pelvis without prior studies for comparison in this skeletally immature individual, demonstrates approximately 2.8 cm superior subluxation of the right femoral neck on the femoral head and approximately 1.3 cm of superior subluxation of the left femoral neck on the left femoral head. There is a small amount of sclerosis at the bilateral femoral epiphysis. There is also an area of increased sclerosis at the right femoral neck, slightly more distal than the epiphysis. There is a small, lucent lesion at the medial distal femoral diaphysis. This lesion demonstrates a short zone of transition with no periosteal or soft tissue reaction. The remainder of the bones and soft tissues are unremarkable.

Ddx: 1. Bilateral slipped capital femoral epiphysis. There is mild sclerosis adjacent to the bilateral epiphysis and this is likely chronic. 2. Increased sclerosis of the right femoral neck just distal to the femoral epiphysis may be stress reaction vs. superimposition of shadows. 3. Likely fibrous cortical defect of the distal femoral diaphysis.

Dxhow: Surgery

No MeSH data available.