Femoral notching

Case contributed by Dr Jeremy Jones

Presentation

Acute onset left sided hip pain after trauma.

Patient Data

Age: 8 years
Gender: Male
X-ray

There are bilateral irregular notches on the weight-bearing surface of the femoral heads. These have the appearance of femoral notches.

Case Discussion

Notching of the femoral heads is present bilaterally and it is more prominent on the left. The differential here would be of Perthe's disease (which is bilateral in 20% of cases). However, follow up films were normal and the clinical features resolved.

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Case information

rID: 24349
Case created: 8th Aug 2013
Last edited: 28th Feb 2016
Inclusion in quiz mode: Included

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