14 Questions
What is the common symptom of SCFE that may lead to misdiagnosis on first presentation to a medical facility?
Knee pain in obese adolescents
What is the most common reason for misdiagnosis in 20-50% cases of SCFE on their first presentation to a medical facility?
Referred pain to the knee in obese adolescents
What imaging technique provides the most accurate measurement of the extent of epiphyseal displacement and angulation in SCFE?
CT scan
What is the approximate incidence of the second hip becoming affected in SCFE cases?
1 in 4 cases
What provides valuable visualization of early slipping in SCFE?
CT scan
What is the aim of surgery in SCFE management?
To prevent further slip
What is a potential consequence of minimal slipping in early cases of SCFE?
Complete satisfaction
What is the recommended treatment for mild, moderate, and some severe acute on chronic slipped capital femoral epiphysis (SCFE)?
Percutaneous in situ pinning
What is allowed for most patients on the first day after SCFE surgery?
Partial weight bearing using crutches
Which type of fixation is currently the most often used treatment for mild, moderate, and some severe acute on chronic slipped capital femoral epiphysis (SCFE)?
Percutaneous in situ pinning
What may be related to severity of the slip rather than to the manipulative reduction in SCFE?
Development of avascular necrosis
What is applied to counteract the muscle spasm in SCFE treatment?
Longitudinal traction
When are all vigorous activities forbidden after SCFE surgery?
Until physeal closure
What is recommended regarding the number of pins for stability in SCFE treatment?
Use of a single larger diameter central pin or screw for stability
This quiz covers the advanced stage of hip dysplasia pathology, focusing on the atrophic femoral head, its displacement, and the condition of the acetabulum. It discusses the specific characteristics and displacement of the femoral head at this stage.
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