Missed slipped capital femoral epiphysis: Illustrative cases and a review

作者: Alan L. Causey , E.Ross Smith , J.J. Donaldson , Ronald J. Kendig , Luther C. Fisher

DOI: 10.1016/0736-4679(94)00139-1

关键词: ThighSlipped capital femoral epiphysisOrthopedic surgeryGroinKnee painLimpGeneral surgeryMedicineSurgeryPresentation (obstetrics)Differential diagnosis

摘要: Slipped capital femoral epiphysis (SCFE) is a fairly common condition affecting older children and adolescents, has the potential for long-term, crippling sequelae. Early recognition single most important controllable factor, but diagnosis often missed or delayed, resulting in progression of slip. A SCFE should be suspected promptly evaluated any child adolescent presenting with limp complaints hip, groin, thigh, knee pain, especially if patient overweight. The usually made by anteroposterior frog-leg lateral radiographs hips. Common errors at initial presentation include: not obtaining hip (due to either no pain lack an impressive history physical findings); misreading (the findings can subtle); timely referral. involvement treatment orthopedic surgeon greatly reduce complications. We present three cases that highlight presentation, discussion includes differential painful limp.

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