A 13-year-old boy with obesity has 3 weeks of left knee pain and limp. Hip examination shows limited internal rotation and obligate external rotation

Question

A 13-year-old boy with obesity has 3 weeks of left knee pain and limp. Hip examination shows limited internal rotation and obligate external rotation with flexion. Knee examination is normal. He is afebrile. Which of the following is the most appropriate at this time?

Accepted Answer

Make the patient non-weight-bearing and obtain urgent orthopedic consultation

Answer

Treat with oral antibiotics

Answer

Inject corticosteroid into the knee

Answer

Prescribe stretching and return to sports

Answer

Reassure and repeat examination in 1 year

SCFE — USMLE Step 3 MCQ

A 13-year-old boy with obesity has 3 weeks of left knee pain and limp. Hip examination shows limited internal rotation and obligate external rotation with flexion. Knee examination is normal. He is afebrile. Which of the following is the most appropriate at this time?