Age / Sex : 12 / M

Chief complaint : Rt. hip pain (onset : 1yr), recently aggravation after football

What is your diagnosis?

Two weeks later, you can see the final diagonosis with a brief discussion of this case (Please submit only one answer).

Courtesy : 한석, 인제대학교 해운대 백병원, Hahn Seok, Inje University Haeundae Paik Hospital

Slipped capital femoral epiphysis (SCFE)

Discussion

Findings

CR & CT

Asymmetric supero-lateral displacement of right femoral metaphysis, with physeal irregularity and widening

Loss of epiphyseal height and increased opacity at proximal femoral neck

MRI

Marrow edema of right femoral head

1. Imaging modalities in patients with slipped capital femoral epiphysis. Journal of children’s orthopaedics. 2017;11:99-106


2. MRI of Legg-Calve-Perthes disease. AJR 2009;193:1394-1407


3. Idiopathic chondrolysis of hip in children: New proposal and implication for radiological staging. Indian J Radiol Imaging 2018;28:205-213


4. MR imaging of patellar instabiliry: Injuries patterns and assessment of risk factors. Radiographics 2010;30:961-981