Module 3, General Orthopaedist Level

A six year old, otherwise healthy girl presents with the parents complaint that she has a funny gait. They specifically note that she has a waddling gait and has a shorter left leg. She has never complained of pain and has never had any recognized fractures. The parents had not noticed this until a grandmother visited them from out of the country. The grandmother brought this to the parents attention.

Question 3A

This history and x-ray represents juvenile slipped capital epiphysis.

Question 3B

The goal of treating this should be to change the loading characteristics from shear to compression in the femoral neck

Question 3C

The current criteria for surgical intervention include femoral neck-shaft angle less than 90 - 100 degrees

Question 3D

If an osteotomy is planned, the correct location should be in the femoral neck region.

Question 3E

Greater trochanteric overgrowth is a common complication of this problem.