Slipped upper femoral epiphysis

Case contributed by A.Prof Frank Gaillard

Presentation

13 year old girl, with follow-up films at age 14 and 15.

Patient Data

Age: 13
Gender: Female
X-ray

Loss of height of the right femoral epiphysis. The line of Klein intersects the epiphysis. Further imaging is required in the form of a frog-leg lateral.

X-ray

The frog-leg lateral view confirms the suspicion of right-sided SUFE. This child should be reviewed immediately and referred to orthopaedics. They should not weight-bear and should not be sent home.

X-ray

2 years later - post-op imaging

Post-operative follow-up imaging after right-sided reduction and screw-fixation.

Case Discussion

Note the appearance of the right epiphysis of the right hip, slipped anteromedially - best seen on frog leg view consistent with SUFE. This patient went on to have the epiphysis pinned with residual deformity. 

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Case information

rID: 10357
Case created: 8th Aug 2010
Last edited: 22nd Oct 2017
Tags: sufe, femur, hip
Inclusion in quiz mode: Included

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