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...

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Main Authors: Sanjay M Khaladkar, Preeti Sherawat, Mansi N Jantre, Dhaval K Thakkar, V M Kulkarni
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
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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.
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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
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