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An Adolescent Patient With Hip Pain: Slipped Capital Femoral Epiphysis

Authors
Journal
Journal of Clinical Medicine Research
1918-3003
Publisher
"Elmer Press, Inc."
Publication Date
Identifiers
DOI: 10.4021/jocmr503w
Keywords
  • Letter To The Editor
Disciplines
  • Logic
  • Medicine
  • Philosophy

Abstract

JOCMR503w.indd Letter to the Editior J Clin Med Res • 2011;3(2):99-100 ressElmer Articles © The authors | Journal compilation © J Clin Med Res and Elmer Press™ | www.jocmr.org An Adolescent Patient With Hip Pain: Slipped Capital Femoral Epiphysis Leyla Solduka, Ozgur Soguta, c, Halil Kayaa, Mehmet T Gokdemira, Ugur Ozkanlib Letter to the Editor: A 16-year-old adolescent male presented to the emergency depart- ment with a chief complaint of left-sided hip pain of 3 weeks’ dura- tion. The frequency of pain was intermittent and tended to be worst since the last 3 days, with the complaints of left knee pain and limp- ing added on top of the pain. He had neither a history of trauma nor a previously known disease. His physical examination revealed an overweight adolescent with a body mass index of 26.6 kg/m2. He had a moderate antalgic gait with the left leg in external and internal rotation. He had also showed limited mobility of left hip in abduction, with no edema or crepitation and sensory or motor defi - cits. The examination of the contralateral hip was unremarkable. The anteroposterior hip radiograph showed increased left hip joint space compared to the right hip (Fig. 1). A frog-leg lateral left hip radiograph demonstrated dislocated capital femoral epiphysis on the proximal femoral metaphysis (Fig. 2). He was taken to surgery with the diagnosis of slipped capital femoral epiphysis and the right femoral epiphysis internally fi xed with a single-cannulated screw under scopy guidance. Slipped capital femoral epiphysis (SCFE), also named as ado- lescent coxa vara, is characterized by a growth disturbance of the proximal femoral growth plate, resulting in posterior and inferior displacement of the proximal femoral epiphysis (femoral head) on the metaphysis (femoral neck) [1, 2]. It is a common hip disorder which is known to be strongly related to overweight and obesity in adolescents and children aged 9 - 16 years [1, 3]. A retrospec- tive review of e

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