Knee Pain in a 12-Year-Old Girl
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. Kleins 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.
- Frog-leg lateral pelvic view.
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:
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
Seminars in Medical Practice
Hospital Physician Board Review Manuals
Copyright © 2008, Turner White Communications
Updated 1/04/08 kkj