Bilateral slipped upper femoral epiphysis

Case contributed by Dr Yusra Sheikh

Presentation

Presented to ED with worsening bilateral hip pain.

Patient Data

Age: 16 years
Gender: Male

Only one AP image was provided. There is bilateral slippage of the upper femoral epiphyses. The line of Klein fails to intersect the femoral epiphysis on either side.

Case Discussion

If the line of Klein fails to intersect the epiphysis during the acute phase, it is called Trethowan's sign. Urgent orthopedic referral is advised in these types of cases.

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Case information

rID: 46066
Case created: 20th Jun 2016
Last edited: 21st Jun 2016
Tag: sufe
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