Advanced Stage of Hip Dysplasia Pathology
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Questions and Answers

What is the common symptom of SCFE that may lead to misdiagnosis on first presentation to a medical facility?

  • Extravasation of blood in the joint space
  • Limp with no apparent cause
  • Knee pain in obese adolescents (correct)
  • Pain in the hip joint

    • What is the most common reason for misdiagnosis in 20-50% cases of SCFE on their first presentation to a medical facility?

  • Knee pain as a common symptom
  • Referred pain to the knee in obese adolescents (correct)
  • Extravasation of blood in the joint space
  • Limp with spontaneous onset

    • What imaging technique provides the most accurate measurement of the extent of epiphyseal displacement and angulation in SCFE?

  • Ultrasound
  • X-ray
  • CT scan (correct)
  • MRI

    • What is the approximate incidence of the second hip becoming affected in SCFE cases?

    <p>1 in 4 cases</p> Signup and view all the answers

    What provides valuable visualization of early slipping in SCFE?

    <p>CT scan</p> Signup and view all the answers

    What is the aim of surgery in SCFE management?

    <p>To prevent further slip</p> Signup and view all the answers

    What is a potential consequence of minimal slipping in early cases of SCFE?

    <p>Complete satisfaction</p> Signup and view all the answers

    What is the recommended treatment for mild, moderate, and some severe acute on chronic slipped capital femoral epiphysis (SCFE)?

    <p>Percutaneous in situ pinning</p> Signup and view all the answers

    What is allowed for most patients on the first day after SCFE surgery?

    <p>Partial weight bearing using crutches</p> Signup and view all the answers

    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)?

    <p>Percutaneous in situ pinning</p> Signup and view all the answers

    What may be related to severity of the slip rather than to the manipulative reduction in SCFE?

    <p>Development of avascular necrosis</p> Signup and view all the answers

    What is applied to counteract the muscle spasm in SCFE treatment?

    <p>Longitudinal traction</p> Signup and view all the answers

    When are all vigorous activities forbidden after SCFE surgery?

    <p>Until physeal closure</p> Signup and view all the answers

    What is recommended regarding the number of pins for stability in SCFE treatment?

    <p>Use of a single larger diameter central pin or screw for stability</p> Signup and view all the answers

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