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October Radiology Answer Key

October 2004 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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