LE MSK CIS

Question 1

Diagnosis: SCFE

Answer 1

Non-inflammatory condition

Typically overweight boys

Endocrine disorders
Can be associated with hypothyroidism, or pituitary deficiencies

Acute slip

• Preceding hx of minor trauma
• Present with pain & inability to walk
• Subacute/chronic slip
• • Sx are typically insidious—pain in affected hip or limp

Question 2

SCFE treatment

Answer 2

Primary goal of treatment is the stabilization of femoral to
prevent vascular damage
Prevent futher deformity
Tx: surgical fixation with central screw or bone graft epiphysiodesis
Non-weight bearing until assessed by ortho
Most patient have good prognosis
Risk for acute chondrolysis or avascular necrosis

Question 3

SCFE OMT

Answer 3

Goal:
- Directed toward improving vascular and lymphatic circulation

How we get there

• Improve and balance muscular tone across the joint and in the areas above and below
• From above: psoas, erector spinae, abdominals, innominates, sacrum, junctions
• From below: quads, hams, adductors, abductors, knee, ankle, foot