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The limping child

The limping child. Some illustrative cases. Case #1. Case 2. Case 3. Case 4. Case 5 - Which side is abnormal?. The lines drawn along the superior border of the proximal femur metaphysis (the Klein line) should intersect part of the proximal femoral epiphysis.

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The limping child

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  1. The limping child Some illustrative cases

  2. Case #1

  3. Case 2

  4. Case 3

  5. Case 4

  6. Case 5 - Which side is abnormal?

  7. The lines drawn along the superior border of the proximal femur metaphysis (the Klein line) should intersect part of the proximal femoral epiphysis. • The patient's right hip (left on the screen) shows the line just touching the lateral margin of the epiphysis. This is abnormal, indicating that the femoral capital epiphysis has slipped inferiorly and medially. • The patient's normal left hip (right on the screen) shows the line intersecting the lateral part of the femoral epiphysis. This is normal.

  8. Case 6 Sufe

  9. Case 6

  10. Other pathology

  11. Osteosarcoma

  12. Ewing tumour

  13. Osteoid osteoma

  14. Bone cyst

  15. 1 Septic hip • 2,3,4 Perthes • 5,6 SUFE • Other cases - malignancy

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