MSK - SUFE

Question 1

What is slipped upper femoral epiphysis?

Answer 1

Head of femur is displaced along growth plate:

posterior-inferior displacement of the epiphysis

Question 2

What is the common patient in the presentation of SUFE?

Answer 2

Obese child ages 10-12

Question 3

What condition is associated with SUFE?

Answer 3

Hypothyroidism

Question 4

When to suspect SUFE from question stem

Answer 4

History of minor trauma triggering onset of symptoms

Pain is disproportionate to severity of injury

Question 5

Symptoms of SUFE?

Answer 5

Hip, groin, thigh or knee pain

Loss of internal rotation of leg in flexion:

suFI - issue flexed + internal rotation

Question 6

How to investigate SUFI?

Answer 6

X ray hip pelvis

AP and lateral:
Frog leg view will be diagnostic

Will see the postero-inferior displacement of epiphysis

Question 7

How to manage sufe?

Answer 7

Surgery:

Internal fixation of femoral head -> return to correct position and fixed to prevent further slippage

Question 8

Complications of SUFE?

Answer 8

Avascular necrosis of femoral head