Friday, September 12, 2008

Slipped capital femoral epiphysis (SCFE)

1. What is SCFE?
2. What is the most common age for SCFE?
3. What is the presentation of SCFE?
4. What will radiographs show?
5. What is the treatment of SCFE?

Answers:
1. Injury to epiphyseal growth plate at the head of the femur --> displacement of plate.
2. 11-16 yrs.
3. Usually presents as groin pain, but may present as thigh or knee pain. Antalgic gait, with limited int hip rotation.
4. Medial and posterior displacement of epiphysis.
5. NWB, surgery. Endocrine testing for growth hormone, thyroid, panhypopituitarism, MEN.

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