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International Journal of Medical and Pharmaceutical Case Reports

International Journal of Medical and Pharmaceutical Case Reports, 2394-109X,Vol.: 10, Issue.: 1

Case Report

Adolescent Female Patient with Hip Pain: Slipped Capital Femoral Epiphysis (SCFE)

 

Aung Kyi Winn1, Htay Lwin2*, Zay Yar Naing3 and Khine Lynn Phyu3

1Department of Orthopaedics, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.

2Family Medicine Unit, Department of Community Medicine, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.

3Department of Paediatrics, Melaka Manipal Medical College (MMMC), Melaka, Malaysia.

 

Article Information
Editor(s):
(1) Erich Cosmi, Director of Maternal and Fetal Medicine Unit, Departmentof Woman and Child Health, University of Padua School of Medicine, Padua, Italy.
(2) S. Sundaresan, Department of Medical Research Centre, SRM Medical College, SRM University, India.
Reviewers:
(1) Pratima Tripathi, Sri Sathya Sai Institute of Higher Learning, India.
(2) Fellah M. Ammoun, Abbes Laghrour University, Algeria.
(3) Danúbia da Cunha de Sá Caputo, Universidade do Estado do Rio de Janeiro, Brazil.
(4) Mitsuhiko Takahashi, Tokushima Prefectural Central Hospital, Japan.
(5) Geetha Wickrematilake, District General Hospital, Sri Lanka.
(6) Naoki Hashimoto, Kindai University, Japan.
Complete Peer review History: http://www.sciencedomain.org/review-history/20906

 

Abstracts

 

SCFE is the most common hip disorder affecting the young age between 8 and 16 year old. The prevalence of SCFE is 10 per 100,000 children. The incidence of SCFE is more on boys than girls.

We would like to report a case of SCFE with different clinical presentation. A 13-year-old girl presented with the history of pain in the left hip for 1 year and limping for 4 months. The left hip pain became worsened over the last few months together with development of the limping. The pain was also associated with stiffness of the left hip joint and she was unable to squat on the left side. Physical examination including ROM (Range of Movement) and orthopaedic testing were done. X ray and CT scan were done. Patient was diagnosed with SCFE.

The patient was subsequently treated successfully with In situ fixation. The small incision was made near the left hip and the slipped femoral head was gently rotated and then a screw was inserted to stabilize the bones in their places.

This case is selected for reporting because the incidence of SCFE in girls lower than boys and unusual presentation in this patient because the patient came to hospital after one year and 4 months.

 

Keywords :

Hip disorder; Slipped Capital Femoral Epiphysis (SCFE); adolescent.

 

Full Article - PDF    Page 1-7    Article Metrics

 

DOI : 10.9734/IJMPCR/2017/35178

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