JRSM >
Volume 95, Number 9 >
Pp. 474
72 Harley Street, London W1G 7HG, UK
The article by Mr Ankarath and colleagues (July 2002 JRSM1) restates what has been known for at least forty years. The message was necessary since nothing has changed over the years. I agree with the suggested remedy—namely, an appropriate X-ray in adolescents with undiagnosed hip or knee pain of more than a week's duration. However, they do not put enough emphasis on the very common presentation with knee pain. Seeing these patients for medicolegal purposes I find that often the doctor first consulted did not examine the hip or observe the gait. Sometimes the knee is X-rayed. Limitation of internal rotation at the hip and walking with the leg in some external rotation are simple warning signs well within the capabilities of a general practitioner or an accident and emergency doctor.
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