Slipped Upper Femoral Epiphysis

Question 1

What is this a presentation of?
10 to 15 years old, obese, boy, maybe bilateral. Sudden onset painful limp usually after minor injury, leg can appear to be externally rotated, limited abduction and internal rotation.

Answer 1

Slipped upper femoral epiphysis

Question 2

How is a slipped upper femoral epiphysis diagnosed?

Answer 2

AP and lateral X-ray showing displacement of the epiphysis

Question 3

What is the management for a slipped upper femoral epiphysis?

Answer 3

Internal screw fixation of the epiphysis and analgesia

Question 4

In which direction does an upper femoral epiphysis slip?

Answer 4

Postero-inferiorly