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Asking for Other, Male, 11 years old, Lahore
He was having sudden pain in leg specifically at knee, seen and treated by orthopedic surgeon for septic arthritis, left hip ultrasound report- Lt.hip joint effusion vol 20cc, its treated. Dr recommend further MRI attached report. His primary surgeon said no need surgery, but child is having difficulty in walking nd have pain. Other orthopedic surgeon advice urgent surgery. I need advice from here what should we do now? Jazak Allah kher
Plz show the pt Hip pain is ufually felt in in kids better show the pt thanks
if there is an effusion in hip joint and child is feeling sick, then better to have surgery.
mri will also help to decide if surgery is required or not. so show mri report and then it's Better to see the patient as well.
Patient
Post Owner
I m trying to attach but cannot
MRI conclusion: Altered marrow signals noted in left femoral epiphysis which is displaced posteromedially with widening of growth plate and joint effusuin. Features are more suggestive of slipped upper femoral epiphysis(SUFE); However less likely possibility of coexisting superadded inflammation may be ruled out.
Clinical correlation is recommended.
5 years ago
MBBS , FCPS (Orthopedic Surgery), FRCS (Trauma & orthopedic surgery ) England , Fellowship (Shoulder Surgery) UK | Lahore | Book Appointment
193 Positive Reviews
ok so that's something you should get treated urgently.
SUFE or Infection both need surgery of some kind to solve the issue.
your child should stop putting weight on that leg immediately, otherwise it can get worse.
5 years ago
Needs few blood reports and MRI also to decide about surgical or non surgical treatment
Patient
Post Owner
I m trying to attach but cannot
MRI conclusion: Altered marrow signals noted in left femoral epiphysis which is displaced posteromedially with widening of growth plate and joint effusuin. Features are more suggestive of slipped upper femoral epiphysis(SUFE); However less likely possibility of coexisting superadded inflammation may be ruled out.
Clinical correlation is recommended.
CRP: less than 0.5mg/ dl
Fluid CS: no growth
5 years ago
dear I advise you get urgent orthopedic opinion as findings are consistent with scfe. and child need fixation. after ruling out other causes like obesity etc.
Patient
Post Owner
I m trying to attach but cannot
MRI conclusion: Altered marrow signals noted in left femoral epiphysis which is displaced posteromedially with widening of growth plate and joint effusuin. Features are more suggestive of slipped upper femoral epiphysis(SUFE); However less likely possibility of coexisting superadded inflammation may be ruled out.
Clinical correlation is recommended.
5 years ago