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October 2009 Radiology Quiz This patient is a 15 year old male who presents to the emergency department with the chief complaint of right hip pain. The following radiograph was taken. Questions: 1. Describe what you see? There is slippage of the epiphysis of the right femoral head medially. Diagnosis: Right sided Slipped Capital Femoral Epiphysis. 2. How do these patients typically present? A slipped capitol femoral epiphysis is a condition that is most common in growing children, especially between ages 11 and 15. Patients complain of knee/hip pain Symptoms include: Knee pain Hip pain Leg turns outward Hip movements are restricted with leg movements Walking with a limp. 3. What complications can be expected for this patient? Avascular necrosis of the femoral head Chondrolysis (destruction of cartilage) Osteoarthritis (late complication) Trivia: Which David Bowie hit coincided with the moon landing in 1969? Answer: Space Oddity
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