JRSM > Volume 95, Number 7 > Pp. 356-358

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Delay in diagnosis of slipped upper femoral epiphysis

S Ankarath FRCS Ed (Tr & Orth)   A B Y Ng MRCS   P V Giannoudis BSc MD     B W Scott FRCS (Orth)  

Department of Orthopaedic and Trauma Surgery, St James's University Hospital, Beckett Street, Leeds LS9 7TF, UK

View larger version (96K): [in a new window]   Figure 1. Measurement of the extent of epiphyseal displacement on the lateral radiograph. The degree of slip is reflected by the angle between the perpendicular of a line drawn along the long axis of the femoral neck and a line produced from the anterior to the posterior border of the epiphysis

 

View larger version (110K): [in a new window]   Figure 2. Anteroposterior radiograph showing mild slip of the right hip fixed with a single percutaneous screw, and prophylactic fixation of the left hip

 

View larger version (135K): [in a new window]   Figure 3. Minor slip. A line drawn along the upper femoral neck in an antero-posterior radiograph does not cut off a segment of epiphysis on the left side

 

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