Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Interactive:
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Quiz
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Exams
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Pediatric Rounds Review Questions
Knee Pain in a 12-Year-Old Girl

Answer 1

  1. Frog-leg lateral pelvic view. The primary modality to confirm the diagnosis of SCFE is plain radiography. AP and frog-leg lateral pelvic views are examined to identify the displacement of the femoral neck on the proximal femoral epiphysis. The physis should be carefully examined for possible widening without the posterior displacement indicative of SCFE. Even if the patient presented with unilateral complaints, both hips should be included in the radiographs to rule out bilateral involvement with the asymptomatic side acting as a “silent” slip. Klein’s line should drawn along the superior border of the femoral neck and should bisect the femoral epiphysis. Failure to intersect the epiphysis confirms the diagnosis of SCFE.

Click here to return to the questions

 

Click here to read “Knee Pain in a 12-Year-Old Girl”
(Requires Adobe Acrobat Reader)





Check our archive to test your knowledge in other pediatric cases:

Pediatric Rounds Review Questions Archives



If you do not already have Acrobat Reader, simply click on the icon below, scroll down to the "Get the Free Acrobat Reader" heading and follow the instructions to install the program. Acrobat enables you to convert any document into an Adobe Portable Document Format (PDF) file for easy viewing.

Download Adobe Acrobat Reader

 
Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2008, Turner White Communications
Updated 1/04/08 • kkj