Presentation
Progressive mild right hip pain over a month ago
Patient Data
Relative widening of the growth plate on AP and frog-leg views of the right hip. Posterior displacement of right femoral epiphysis which appears smaller on frog-leg view.
Relative posterior medial displacement of the right capital femoral epiphysis with widened related growth plate. There is associated irregularity and relative sclerosis of the proximal femoral neck.
Case Discussion
Slipped upper femoral epiphysis (SUFE) is a relatively common condition affecting the upper epiphysis of the femur in adolescents. It affects boys more than girls.
AP and frog lateral X-ray views of hips are the most useful initial diagnostic modality.
CT has more sensitivity for the detection of femoral epiphysis displacement.
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