Slipped capital femoral epiphysis: The Daily PANCE Blueprint

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Slipped capital femoral epiphysis: The Daily PANCE Blueprint

Which of the following is a classic presentation of slipped capital femoral epiphysis (SCFE) in an adolescent patient?

A. Severe knee pain without hip involvement following an acute sports injury
B. Progressive unilateral hip pain and a limp with limited internal rotation of the hip
C. Sudden bilateral hip pain with high fever and systemic symptoms
D. Chronic back pain with radiation to the thighs and nighttime awakening
E. Acute onset of bilateral hip pain following a growth spurt without trauma

Answer and topic summary

The answer is B. Progressive unilateral hip pain and a limp with limited internal rotation of the hip.

Slipped capital femoral epiphysis (SCFE) is a common hip disorder seen in adolescents that involves a posterior and medial displacement of the proximal femoral epiphysis. The classic presentation includes an overweight or rapidly growing adolescent who presents with a limp and hip or groin pain that can refer to the thigh or knee. Physical exam often reveals limited internal rotation and abduction of the hip.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Musculoskeletal ⇒ Lower extremity disorders ⇒ Disorders of the hip ⇒ Slipped capital femoral epiphysis

Also covered as part of the Pediatric Rotation PAEA EOR topic list

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