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Pediatrics Review for EM In Service Exam - University at Buffalo ...

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Key points <strong>for</strong> Slipped Capital<br />

Femoral Epiphysis<br />

• Occurs in males 2-4X 2<br />

more often than females<br />

and they are usually obese and between 8 and 15<br />

years of age<br />

• Present with hip or knee pain, or with a limp<br />

• R of M exam of hip usually shows limited internal<br />

rot<strong>at</strong>ion, abduction, and with flexion, and pain<br />

with R of M exercises<br />

• Need both AP and frog-leg view to ensure the<br />

diagnosis because slip more easily seen in frog-<br />

leg view<br />

• Can be bil<strong>at</strong>eral in up to 25% of all SCFE

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