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Clinical features

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Initial presentation is with vague symptoms. In some patients absence of symptoms in the hip may cause missed or a delay in the diagnosis (1).

Presenting features of SCFE include:

  • limping
  • pain, which can be poorly localized to the hip, groin, thigh, or knee
    • in 15% of cases knee or distal thigh pain is the presenting feature (2)
  • pain on movement
  • reduced range of movement (internal rotation) of the hip support the diagnosis of SCFE (2)
  • the affected leg is externally rotated and shortened (compared to the contralateral side) (3)
  • external rotation becomes gross when the hip is passively flexed to 90 degrees (2)

Note:

  • examination of both the hips are important since there is a possibility that the condition may be bilateral (3)

Reference:


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