Slipped capital femoral epiphysis

Case contributed by Dr Mohammad A. ElBeialy

Presentation

Right hip pain.

Patient Data

Age: 15 years
Gender: Male
  • Postero-medial displacement of the right femoral epiphysis and widened physis as well as femoral metaphyseal patchy edema signal (metaphyseal blanch sign).
  • Mild right hip joint effusion.
  • No evidence of right femoral head avascular necrosis (AVN) or degenerative changes of the hip joint.
  • Normal left hip.
  • Normal both sacroiliac joints.
  • Mild atrophy of the right hip periarticular musculature.
  • No bony or soft tissue mass lesion.

Case Discussion

Right slipped capital femoral epiphysis (SCFE) with mild joint effusion (synovitis) and mild atrophy of the right hip peri-articular musculature. No femoral head AVN.

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