Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report
Slipped Upper Femoral Epiphysis (SUFE) is the most common hip abnormality in adolescents, leading to significant morbidity if not properly treated. It is classified as a Salter-Harris type I injury, resulting from a fall that affects the physis of both hips and can cause unstable alignment between t...
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JCDR Research and Publications Pvt. Ltd.
2024-11-01
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| Series: | International Journal of Anatomy Radiology and Surgery |
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| Online Access: | https://www.ijars.net/articles/PDF/3024/75293_CE[Ra1]_F(IS)_PF1(RI_SHU)_redo_PFA(SHU)_PB(RI_SHU)_PN(SHU).pdf |
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| author | Chandrashekar Patil Rithya Kuppam Akhila Bandaru Nikhitha Mangalagiri B Vasudha |
| author_facet | Chandrashekar Patil Rithya Kuppam Akhila Bandaru Nikhitha Mangalagiri B Vasudha |
| author_sort | Chandrashekar Patil |
| collection | DOAJ |
| description | Slipped Upper Femoral Epiphysis (SUFE) is the most common hip abnormality in adolescents, leading to significant morbidity if not properly treated. It is classified as a Salter-Harris type I injury, resulting from a fall that affects the physis of both hips and can cause unstable alignment between the epiphysis and metaphysis. They typically present with a decreased range of motion, hip discomfort and limping. Hereby, the author presents the case of 12-year-old adolescent female with a sequential history of hip pain one after the other after a fall one month back. On physical examination, full internal rotation was lacking and flexion and abduction ability were limited. X-ray and Magnetic Resonance Imaging (MRI) of both hip joints were taken, which revealed widened epiphysis of bilateral femurs with slippage of bilateral femoral epiphysis onto metaphysis, suggestive of bilateral SUFE. Later the patient underwent bilateral prophylactic in-situ fixation with screws to prevent further slippage and long-term complications. |
| format | Article |
| id | doaj-art-65e54dd4a7ea44c6aad79717f1e8fbeb |
| institution | OA Journals |
| issn | 2277-8543 2455-6874 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | JCDR Research and Publications Pvt. Ltd. |
| record_format | Article |
| series | International Journal of Anatomy Radiology and Surgery |
| spelling | doaj-art-65e54dd4a7ea44c6aad79717f1e8fbeb2025-08-20T02:36:28ZengJCDR Research and Publications Pvt. Ltd.International Journal of Anatomy Radiology and Surgery2277-85432455-68742024-11-011306010210.7860/IJARS/2024/75293.3024Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case ReportChandrashekar Patil0Rithya Kuppam1Akhila Bandaru2Nikhitha Mangalagiri3B Vasudha4Assistant Professor, Department of Radiology, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.Junior Resident, Department of Radiology, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.Junior Resident, Department of Radiology, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.Junior Resident, Department of Radiology, Malla Reddy Medical College for Women, Hyderabad, Telangana, India.Paediatric Consultant, Department of Paediatrics, Ankura Women and Child Hospital, Hyderabad, Telangana, India.Slipped Upper Femoral Epiphysis (SUFE) is the most common hip abnormality in adolescents, leading to significant morbidity if not properly treated. It is classified as a Salter-Harris type I injury, resulting from a fall that affects the physis of both hips and can cause unstable alignment between the epiphysis and metaphysis. They typically present with a decreased range of motion, hip discomfort and limping. Hereby, the author presents the case of 12-year-old adolescent female with a sequential history of hip pain one after the other after a fall one month back. On physical examination, full internal rotation was lacking and flexion and abduction ability were limited. X-ray and Magnetic Resonance Imaging (MRI) of both hip joints were taken, which revealed widened epiphysis of bilateral femurs with slippage of bilateral femoral epiphysis onto metaphysis, suggestive of bilateral SUFE. Later the patient underwent bilateral prophylactic in-situ fixation with screws to prevent further slippage and long-term complications.https://www.ijars.net/articles/PDF/3024/75293_CE[Ra1]_F(IS)_PF1(RI_SHU)_redo_PFA(SHU)_PB(RI_SHU)_PN(SHU).pdfavascular necrosischondrolysismetaphysisvalgus |
| spellingShingle | Chandrashekar Patil Rithya Kuppam Akhila Bandaru Nikhitha Mangalagiri B Vasudha Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report International Journal of Anatomy Radiology and Surgery avascular necrosis chondrolysis metaphysis valgus |
| title | Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report |
| title_full | Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report |
| title_fullStr | Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report |
| title_full_unstemmed | Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report |
| title_short | Imaging Features of Bilateral Slipped Upper Femoral Epiphysis in Sequential Presentation of Hip Pain: A Case Report |
| title_sort | imaging features of bilateral slipped upper femoral epiphysis in sequential presentation of hip pain a case report |
| topic | avascular necrosis chondrolysis metaphysis valgus |
| url | https://www.ijars.net/articles/PDF/3024/75293_CE[Ra1]_F(IS)_PF1(RI_SHU)_redo_PFA(SHU)_PB(RI_SHU)_PN(SHU).pdf |
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