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Slipped Upper Femoral Epiphysis: Are We Missing the Point?
M N Baig1, Orna A Glynn1, C Egan1
1Trauma & Orthopaedic Surgery, Galway University Hospital, Galway, IRL.
Cureus
|December 12, 2018
Summary
Slipped upper femoral epiphysis (SUFE) can present with knee pain, not just hip pain. This case highlights how deceptive symptoms in adolescents can delay SUFE diagnosis.
Area of Science:
- Orthopaedic surgery
- Adolescent medicine
- Pediatric orthopaedics
Background:
- Slipped upper femoral epiphysis (SUFE) is a common hip disorder in adolescents.
- Typical SUFE symptoms include hip pain and limping.
- Atypical presentations can lead to diagnostic challenges.
Observation:
- A pediatric patient presented with symptoms mimicking other conditions.
- The patient's initial symptoms were not typical of hip pathology.
- This led to a delay in recognizing the underlying SUFE.
Findings:
- The case illustrates a deceptive presentation of SUFE.
- Delayed diagnosis of SUFE can occur with atypical symptoms.
- Adolescent hip pain requires careful evaluation for SUFE.
Implications:
- Clinicians should consider SUFE in adolescents with unexplained knee or contralateral hip pain.
- Early recognition of SUFE is crucial for optimal outcomes.
- Awareness of SUFE's varied presentations is important for pediatricians and orthopaedic specialists.
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