ORTHOPAEDICS


Case 19 :
13-year-old female with pain in left hip since 5 days, and restriction of movements of left hip with shortening of left lower limb
Diagnosis please!
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Imaging Diagnosis

Slipped capital femoral epiphysis

Discussion
It is a childhood disorder characterized by postero inferior displacement of the proximal femoral epiphysis (boys >> girls), during pubertal growth spurts.

Etiology:
-Idiopathic
-Obesity
-Hormonal imbalance
-Trauma

Pathology
-Disruption occurs through hypertrophic zone of physis.
-Epiphysis slips postero- inferiorly


MRI:

Although limited role, it can display

• The articular cartilage epiphysis prior to development of bright signal intensity within femoral ossification center.

• Useful in identifying associated AVN prior to it’s appearance on x-ray

• Associated incongruity of the joint surfaces and changes in the articular cartilage
Relationship of the femoral epiphysis to its containment within the acetabulum.


 

Contribution

MRI CENTRE, NANAVATI HOSPITAL, MUMBAI



 

 


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