Slipped upper femoral epiphysis

Question 1

What is the condition ‘ Slipped upper femoral epiphysis’?

Answer 1

Displacement of the femoral head epiphysis postero-inferiorly

Question 2

Who does slipped upper femoral epiphyisis normally effect?

Answer 2

1. 10 - 15 year olds 2. Over weight boys

Question 3

In what cases can a slipped upper femoral epiphysis present?

Answer 3

1. Presents acutely following trauma 2. Chronic, persistent symptoms

Question 4

Where is the pain localised?

Answer 4

1. Hip pain 2. Groin pain 3. Medial thigh 4. Knee pain

Question 5

What are the clinical features of slipped upper femoral epiphysis?

Answer 5

1. loss of internal rotation of leg in flexion

Question 6

Ix

Answer 6

typical frog legs view on X ray are diagnostic

Question 7

Mx

Answer 7

typically a single cannulated screw placed in the centre of the epiphysis

A surgical screw is inserted across the growth plate securing it to the head of the femur.

Question 8

What are the main symptoms of slipped upper femoral epiphysis?

Answer 8

1. Pain in knee, hip or groin
2. Difficulty walking
3. Limp may be present
4. Limited movement of the leg