Slipped upper femoral epiphysis

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Left-sided hip pain with reduced range of motion.

Patient Data

Age: 15 years
Gender: Male

There is a posteromedial slip of the left femoral epiphysis with widening of the growth plate and diffuse bone marrow edema of the epiphysis and femoral neck. No significant joint effusion is seen.

Normal appearance of the right hip.

Case Discussion

MRI features of a slipped upper femoral epiphysis, mild form according to SUFE-grading.

MRI may show the early bone changes such as a bone marrow edema and widening of the growth plate. It can be useful to rule out a contralateral slip, which is frequent in up to 20% of cases.

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