Posts in Orthopedics
From Slip on Skateboard to Slip of Femoral Head: A Case of Pediatric Slipped Capital Femoral Epiphysis

SCFE is a pediatric condition in which the femoral epiphysis (what will later become the femoral head) “slips” from its location on the growth plate. The direction of slipping is most often posteriorly and inferiorly in relation to the growth plate, also called the femoral physis, and the metaphysis. The slipped appearance on x-ray is often compared to a scoop of ice cream sliding off a cone. 

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Posterior Hip Dislocations: ED Recognition & Management

A 33-year-old previously healthy male presented to the ED with right hip pain after an MVC in which he was the unrestrained passenger in a car going 30-40 MPH. Vitals were notable for HR of 105, and were otherwise within normal limits. On physical exam, his right lower extremity was without obvious deformity or overlying skin changes, but was noted to be shortened with tenderness to palpation and pain with range of motion about the hip…

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