Slipped Capital Femoral Epiphysis for Orthopaedic Exams

Description

This presentation focuses on pediatric orthopedics, specifically discussing slipped upper femoral epiphysis (SUFE). The speaker begins by analyzing a case presentation of a child with a short, externally rotated leg, emphasizing the importance of visual cues in identifying conditions. The discussion touches on clinical examination techniques, including how to interpret X-ray images and the usual findings associated with SUFE, highlighting its typical presentation in overweight children aged 11 to 14 years with groin, thigh, or knee pain. The presentation includes details about the disorder's etiology, risk factors—such as increased incidence in boys and specific ethnicities—and how to ask for necessary imaging views during an examination to assess for this condition. The speaker recounts personal experiences with the exam format, indicating the necessity of being prepared for various scenarios, including the classification of stable and unstable slips of SUFE.



The presentation covers diagnostic procedures, emphasizing the importance of plain X-rays and additional imaging if necessary. The speaker discusses potential features to look for on radiological assessments, such as the appearance of the femoral head and measurements relating to the SUFE. Surgical treatment options are explored, with the differences in approaches for stable vs. unstable cases, stressing the urgency for managing unstable slips to prevent complications such as avascular necrosis (AVN).



Finally, the talk delves into post-operative considerations and the decision-making factors surrounding the management of potential complications and future surgeries. Key literature related to treatment protocols and case studies is cited, reinforcing the relevance of updated clinical guidelines on SUFE management for the approaching exam context, encouraging preparedness and comprehension of core principles within pediatric orthopedic practice.

Specialties