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The limping child The limping child

The limping child - PowerPoint Presentation

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Uploaded On 2016-05-24

The limping child - PPT Presentation

Some illustrative cases Case 1 Case 2 Case 3 Case 4 Case 5 Which side is abnormal The lines drawn along the superior border of the proximal femur metaphysis the Klein line should intersect part of the proximal femoral epiphysis ID: 332241

epiphysis case hip line case epiphysis line hip femoral shows normal lateral sufe screen left patient part proximal abnormal cases

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Presentation Transcript

Slide1

The limping child

Some illustrative casesSlide2

Case #1Slide3

Case 2Slide4

Case 3Slide5

Case 4Slide6

Case 5 - Which side is abnormal?Slide7

The lines drawn along the superior border of the proximal femur metaphysis (the Klein line) should intersect part of the proximal femoral epiphysis.

The patient's right hip (left on the screen) shows the line just touching the lateral margin of the epiphysis. This is abnormal, indicating that the femoral capital epiphysis has slipped inferiorly and medially.

The patient's normal left hip (right on the screen) shows the line intersecting the lateral part of the femoral epiphysis. This is normal. Slide8

Sufe

Case 6Slide9

Case 6Slide10

Other pathologySlide11

OsteosarcomaSlide12

Ewing

tumourSlide13

Osteoid

osteomaSlide14

Bone cystSlide15

1 Septic hip

2,3,4

Perthes

5,6 SUFE

Other cases - malignancy