4.9 of 8 Ratings
An 8-year-old boy presents to the general pediatrics clinic with hip pain. The pain started several weeks ago on his left side and has worsened over the past several days. His right hip is painless. His temperature is 98.0°F (36.7°C), blood pressure is 107/68 mm Hg, pulse is 90/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical exam reveals an antalgic gait, decreased range of motion in the left hip, and mild thigh muscle atrophy. A radiograph is shown in Figure A. Which of the following is the most likely diagnosis?
Congenital talipes equinovarus
Slipped capital femoral epiphysis
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