Slipped upper femoral epiphysis

Case contributed by Assoc Prof Frank Gaillard

Presentation

Left sided hip pain. No trauma.

Patient Data

Age: 10 years
Gender: Male
X-ray

A line drawn up the lateral margin of the left femoral metaphysis does not intersect the epiphysis on the AP view (line of Klein). Appearances of slipped upper femoral epiphysis. The right side appears normal.

Case Discussion

SUFE on the left. Bilateral disease is not uncommon and even though the right hip appears normal on this examination, a frog-leg view should be performed to ensure that this is the case. Some orthopedic surgeons elect to prophylactically pin the unaffected hip.

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