Presentation
Obese adolescent presenting with left hip pain, limping and limitation in the range of motion, besides the inability to bear weight after accidentally falling into a hole.
Patient Data
Left femoral epiphysis presents widening of the growth plate with irregularity and blurring of the physeal edges, slight sclerosis of the metaphysis, and mild posteromedial slip.
Left femur demonstrates Trethowan sign.
The alterations are compatible with slipped upper femoral epiphysis (SUFE).
Mild SUFE in left femur.
1 day after surgery.
14 days after surgery.
Case Discussion
Slipped upper femoral epiphyses (SUFE) is the most common hip disorder in children from 9 to 15 years old, especially boys. One of the proven related biomechanical factors is obesity; all of these characteristics were presented by the patient in this case.
Contributed by Dr. Guilherme Pioli Resende M.D. and Dr. Arthemizio Antônio Lopes Rocha M.D.
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