Slipped capital femoral epiphysis: The Daily PANCE Blueprint

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Slipped capital femoral epiphysis: The Daily PANCE Blueprint

A 12-year-old individual who is overweight presents to your office with complaints of left hip pain and a limp that has been gradually worsening over the past three weeks. On examination, you note limited internal rotation and abduction of the left hip. An X-ray of the hip reveals displacement of the femoral head relative to the femoral neck. What is the appropriate treatment for this condition?

A. Physical Therapy
B. NSAIDs and Rest
C. Surgical Pinning
D. Casting
E. Chemotherapy

Answer and topic summary

The answer is C. Surgical Pinning

The appropriate treatment for the condition described, known as Slipped Capital Femoral Epiphysis (SCFE), is surgical pinning. SCFE is commonly seen in overweight adolescents, and surgical pinning is performed to stabilize the slipped epiphysis and prevent further displacement, minimizing the risk of complications such as avascular necrosis.

Incorrect Answers:

A. Physical Therapy – Not a definitive treatment for SCFE.
B. NSAIDs and Rest – May provide symptomatic relief but do not address the underlying issue.
D. Casting – Not an appropriate treatment for SCFE.
E. Chemotherapy – Used for malignant conditions, not relevant to SCFE.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ Lower extremity disorders ⇒ Disorders of the hip (PEARLS) => Slipped capital femoral epiphysis 

Also covered as part of the Pediatric EOR Topic List

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