Bilateral slipped upper femoral epiphysis with growth plate bridge
Diagnosis almost certain
Presentation
Bilateral hip pain more on the right in an obese child.
Patient Data
Age: 11 years
Gender: Female
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- mild posteroinferior sliding of the both upper femoral epiphyses
- widening and irregularity of the growth plate bilaterally
- blurring of the physeal edges with focal areas of metaphyseal demineralization
- bilateral focal bony bridge formation crossing the growth plates well-demonstrate on coronal and sagittal reformatted images (bone window)
- moderate atrophy with fatty infiltration of the gluteus maximus muscles
Case Discussion
CT features of bilateral slipped upper femoral epiphysis with growth plate bridge.