Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of right hip pain and an antalgic gait. Symptoms exacerbated by weight-bearing and physical activity. No history of significant trauma. Pain is localized to the groin, radiating to the medial thigh/knee. Patient reports inability to bear weight on the right lower extremity.
Clinical Examination Findings
Right hip exam reveals limited internal rotation, abduction, and flexion. Obligatory external rotation noted during passive hip flexion (Drehmann sign positive). Tenderness noted over the anterior hip joint capsule. No neurovascular deficits in the right lower extremity. BMI is [insert value] kg/m².
Treatment Protocol
Immediate non-weight bearing status initiated. Orthopedic surgery consultation for urgent surgical stabilization (in-situ pinning). Pain management with NSAIDs and analgesics. Pre-operative imaging (AP pelvis and frog-leg lateral radiographs) confirms acute SCFE. Surgical planning for percutaneous screw fixation to prevent further slippage.