Slipped capital femoral epiphysis

In this condition the capital physis is slipped posteriorly and medially. The child will present with limp and will walk with the leg turned outward. Typically, it is seen in children between 10- 15 years. On examination the rotations of the hip will be painful. Sometimes children can be obese, may suffer from diabetes or other hormonal problems. Some children can also have hypothyroidism or Vit D deficiency. After proper evaluation the child may need surgery to prevent further slip.

fig 1
Pre-operative radiograph showing slip on left side
fig 2
Post-operative radiograph showing reduction of slip and pins in situ. Both sides were pinned to prevent slip on the other side