Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with [acute/chronic] hip/knee pain and an antalgic gait. Onset: [Date/Duration]. Pain character: [dull/aching/sharp]. Aggravating factors: [weight-bearing/activity]. Associated symptoms: [limp/decreased range of motion/referred knee pain]. Denies: [trauma/fever/systemic illness].
Clinical Examination Findings
General: Patient appears [non-toxic/in pain]. Gait: Antalgic, external rotation of the affected limb. Hip Exam: Limited internal rotation, abduction, and flexion. Obligatory external rotation noted with passive hip flexion (Drehmann sign). Neurovascular: Distal pulses palpable, sensation intact.
Treatment Protocol
Immediate non-weight bearing status ordered. Orthopedic surgery consultation for urgent stabilization (in-situ pinning). Pain management: [NSAIDs/Acetaminophen]. Pre-operative imaging: AP pelvis and frog-leg lateral radiographs confirmed SCFE.