Slipped capital femoral epiphysis: Difference between revisions
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*Complications: avascular necrosis, arthritis | *Complications: avascular necrosis, arthritis | ||
==Risk Factors== | ===Risk Factors=== | ||
#Obesity | #Obesity | ||
#African-American | #African-American | ||
#Male:female (3:1) | #Male:female (3:1) | ||
#During growth spurt (m=13y f=11y) | #During growth spurt (m=13y f=11y) | ||
==DDX== | |||
[[Hip Pain (Peds)]] | |||
==Diagnosis== | ==Diagnosis== | ||
Revision as of 06:26, 25 February 2012
Background
- Most common cause of hip disability in adolescents
- Head of femur displaces from epiphysis
- Complications: avascular necrosis, arthritis
Risk Factors
- Obesity
- African-American
- Male:female (3:1)
- During growth spurt (m=13y f=11y)
DDX
Diagnosis
Presentation
- Mild to severe pain hip pain (may have referred knee pain)
- Limp
- May present as acute, chronic, or acute on chronic (following trauma)
Imaging
- AP and lateral (bilateral)
- Widened physis (early finding)
- Displacement of femoral neck to head (late finding)
- Klein's line
- Line from superior cortex of femoral neck parallel to greater trochanter
- Normally should cross through 1/3 of femoral head
- Line from superior cortex of femoral neck parallel to greater trochanter
Treatment
- Orthopedic consultation in ED
- MRI for ambiguous cases
- Non-weight bearing
- Internal fixation
Disposition
Admission
See Also
Source
Tintinalli