Imaging clinical case

• Autor(a) principal: Pinto,Diana Henriques
• Data de Publicação: 2023
• Outros Autores: Ramos,Renato Carlos do Vale, Santos,Mafalda
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S0872-07542023000200153
• topic: hip; obesity; pre-adolescent; slipped capital femoral epiphysis; thigh pain

Abstract A nine-year-old girl with obesity and subclinical hypothyroidism presented with pain in the right thigh with inability to bear weight and associated lameness. These complaints had been present for one month but had recently worsened. There was no history of trauma, fever, or recent infections. On objective examination, she presented with pain on mobilization of the right thigh that worsened with hip rotation and flexion. Bilateral hip radiographs were obtained and showed right-sided femoral offset between the epiphysis and the neck. These findings were consistent with the diagnosis of slipped capital femoral epiphysis. The patient was managed with in situ fixation and prophylactic fixation of the contralateral hip, with gradual improvement.