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: Thigh 、 Slipped capital femoral epiphysis 、 Orthopedic surgery 、 Groin 、 Knee pain 、 Limp 、 General surgery 、 Medicine 、 Surgery 、 Presentation (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.