A 15-year-old boy has hip pain referred to the knee and an antalgic gait. He is overweight. Hip radiograph shows posterior-inferior displacement of

Question

A 15-year-old boy has hip pain referred to the knee and an antalgic gait. He is overweight. Hip radiograph shows posterior-inferior displacement of the femoral head relative to the neck. What is the most appropriate investigation?

Accepted Answer

Make him non-weight-bearing and arrange urgent orthopaedic consultation

Answer

Perform ED reduction under sedation

Answer

Encourage running to strengthen the hip

Answer

Treat with oral antibiotics for septic arthritis

Answer

Discharge with simple analgesia and no follow-up

Slipped capital femoral epiphysis — RCPSC EM MCQ

A 15-year-old boy has hip pain referred to the knee and an antalgic gait. He is overweight. Hip radiograph shows posterior-inferior displacement of the femoral head relative to the neck. What is the most appropriate investigation?