Bilateral SUFE - different phases

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Sudden onset right hip pain whilst running. Unable to weight bear. History of left SUFE requiring surgical fixation.

Patient Data

Age: 16 years
Gender: Male

Right femoral proximal epiphysis demonstrates failure of the epiphysis to intersect Klein's line with the metaphysis displaced laterally indicating a Salter-Harris 1 fracture. This is in keeping with moderate-grade slipped upper femoral epiphysis (SUFE).

Single cannulated screw in the left femoral neck with evidence of treated SUFE. No hardware complication.

Both femoral heads are located in the acetabuli.

Case Discussion

Nice example of acute slip in one hip and previous treated SUFE of the contralateral hip.

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