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Slipped capital femoral epiphysis — USMLE Step 3 MCQ

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ModeratePediatrics (well-child, chronic management)Slipped capital femoral epiphysisUSMLE Step 3

A 13-year-old boy with obesity has 3 weeks of dull left knee pain and limp. Hip examination shows limited internal rotation and obligate external rotation with flexion. Knee examination is normal. Which of the following is the most likely diagnosis?

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Correct answer: ASlipped capital femoral epiphysis

Adolescent obesity with hip pathology referred as knee pain and limited internal rotation suggests SCFE.

Reference: AAOS slipped capital femoral epiphysis guidance