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Slipped Capital Femoral Epiphysis in a 12F
HPI
A 12 year-old female presents with 3 months of worsening right hip pain. She Localizes pain to the anterolateral aspect of mid-thigh. The pain has progressed from intermittent and mild to severe over the past week, necessitating the use of a crutch.
PMH
Negative for metabolic or endocrine disorders. Here BMI is 30.
PE
Gen - WD/WN overweight adolescent female. MSK: focused physical exam of the BLE demonstrates no clinical deformity or leg length discrepancy, no skin changes. There is no TTP elicited but ROM of the right hip elicits characteristics pain around the anterolateral thigh. Positive log roll on RLE. ROM R hip: 90 degrees of flexion, 10 degrees IR, 60 degrees ER. ROM L hip: 100 degrees of flexion, 30 degrees IR, 45 degrees ER. 5/5 hip flexion/extension strength bilaterally. Neurovascular: No deficits in BLE
Percutaneous screw fixation
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