Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature
Slipped capital femoral epiphysis (SCFE) is a common hip condition occurring in adolescents, with a prevalence of 10 cases per 100,000 children. It usually affects younger age group from 10 to 17 years. The condition is usually found to be coexistent with various other conditions such as obesity, gr...
Main Authors: | , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
Series: | Medical Journal of Dr. D.Y. Patil University |
Subjects: | |
Online Access: | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=72;epage=76;aulast=Khaladkar |
_version_ | 1798045291589402624 |
---|---|
author | Sanjay M Khaladkar Preeti Sherawat Mansi N Jantre Dhaval K Thakkar V M Kulkarni |
author_facet | Sanjay M Khaladkar Preeti Sherawat Mansi N Jantre Dhaval K Thakkar V M Kulkarni |
author_sort | Sanjay M Khaladkar |
collection | DOAJ |
description | Slipped capital femoral epiphysis (SCFE) is a common hip condition occurring in adolescents, with a prevalence of 10 cases per 100,000 children. It usually affects younger age group from 10 to 17 years. The condition is usually found to be coexistent with various other conditions such as obesity, growth surges, and endocrine disorders such as hypothyroidism, growth hormone supplementation, hypogonadism, and pan-hypopituitarism. Patients present with limping and a poorly localized pain in the hip, groin, thigh, or knee. Diagnosis of the condition is often delayed due to its nonassociation with trauma and hence increases the chances of developing various complications such as avascular necrosis, chondrolysis and deformity. Majority of researches of SCFE are from Europe and North America, while studies in Asian populations are rare. Delay in diagnosis of SCFE is usually due to patients presenting with knee pain. Imaging can thus aid in early diagnosis and appropriate treatment of the disease, which in turn reduces incidence of deformity and disability in the affected children. Bilateral hip radiography - anteroposterior and frog′s-leg lateral views and magnetic resonance imaging (MRI) are the radiological techniques that help in early diagnosis. MRI detects early physeal changes of both preslip and SCFE even when radiographs and computed tomography are normal. MRI should be routinely used to diagnose early SCFE in preslip stage to avoid further complications. |
first_indexed | 2024-04-11T23:18:26Z |
format | Article |
id | doaj.art-1900298c58da40e19d3ba5521c3461c2 |
institution | Directory Open Access Journal |
issn | 0975-2870 |
language | English |
last_indexed | 2024-04-11T23:18:26Z |
publishDate | 2015-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Medical Journal of Dr. D.Y. Patil University |
spelling | doaj.art-1900298c58da40e19d3ba5521c3461c22022-12-22T03:57:32ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil University0975-28702015-01-0181727610.4103/0975-2870.148855Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literatureSanjay M KhaladkarPreeti SherawatMansi N JantreDhaval K ThakkarV M KulkarniSlipped capital femoral epiphysis (SCFE) is a common hip condition occurring in adolescents, with a prevalence of 10 cases per 100,000 children. It usually affects younger age group from 10 to 17 years. The condition is usually found to be coexistent with various other conditions such as obesity, growth surges, and endocrine disorders such as hypothyroidism, growth hormone supplementation, hypogonadism, and pan-hypopituitarism. Patients present with limping and a poorly localized pain in the hip, groin, thigh, or knee. Diagnosis of the condition is often delayed due to its nonassociation with trauma and hence increases the chances of developing various complications such as avascular necrosis, chondrolysis and deformity. Majority of researches of SCFE are from Europe and North America, while studies in Asian populations are rare. Delay in diagnosis of SCFE is usually due to patients presenting with knee pain. Imaging can thus aid in early diagnosis and appropriate treatment of the disease, which in turn reduces incidence of deformity and disability in the affected children. Bilateral hip radiography - anteroposterior and frog′s-leg lateral views and magnetic resonance imaging (MRI) are the radiological techniques that help in early diagnosis. MRI detects early physeal changes of both preslip and SCFE even when radiographs and computed tomography are normal. MRI should be routinely used to diagnose early SCFE in preslip stage to avoid further complications.http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=72;epage=76;aulast=KhaladkarMagnetic resonance imagingslipped capital femoral epiphysisX-rays |
spellingShingle | Sanjay M Khaladkar Preeti Sherawat Mansi N Jantre Dhaval K Thakkar V M Kulkarni Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature Medical Journal of Dr. D.Y. Patil University Magnetic resonance imaging slipped capital femoral epiphysis X-rays |
title | Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature |
title_full | Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature |
title_fullStr | Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature |
title_full_unstemmed | Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature |
title_short | Early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging: A case report with review of literature |
title_sort | early diagnosis of slipped capital femoral epiphysis on magnetic resonance imaging a case report with review of literature |
topic | Magnetic resonance imaging slipped capital femoral epiphysis X-rays |
url | http://www.mjdrdypu.org/article.asp?issn=0975-2870;year=2015;volume=8;issue=1;spage=72;epage=76;aulast=Khaladkar |
work_keys_str_mv | AT sanjaymkhaladkar earlydiagnosisofslippedcapitalfemoralepiphysisonmagneticresonanceimagingacasereportwithreviewofliterature AT preetisherawat earlydiagnosisofslippedcapitalfemoralepiphysisonmagneticresonanceimagingacasereportwithreviewofliterature AT mansinjantre earlydiagnosisofslippedcapitalfemoralepiphysisonmagneticresonanceimagingacasereportwithreviewofliterature AT dhavalkthakkar earlydiagnosisofslippedcapitalfemoralepiphysisonmagneticresonanceimagingacasereportwithreviewofliterature AT vmkulkarni earlydiagnosisofslippedcapitalfemoralepiphysisonmagneticresonanceimagingacasereportwithreviewofliterature |