Musculoskeletal Flashcards
How is transient synovitis confirmed?
Hip x-ray (normal)
Ultrasound (synovitis)
You may also choose to do additional tests to rule out septic arthritis i.e. joint aspiration with MCS, bloods - FBC, WCC, ESR, CRP
What is slipped capital/upper femoral epiphysis?
Slipped capital femoral epiphysis (SCFE) occurs when weakness in the proximal femoral growth plate allows displacement of the capital femoral epiphysis. SCFE can be an acute or chronic cause of limp in adolescents.
SCFE is caused by a disruption of the growth plate at the femoral head, causing the epiphysis to slip to an abnormal postero-inferior position. Patients may have an abnormally widened growth plate at the proximal femur.
What is ‘shenton’s line’ and what is its significance?
Inferior border of the superior pubic ramus and inferomedial femoral neck. Disruption of this could indicate dislocation i.e. developmental dysplasia of the hip.
