69.9k views
2 votes
Obese adolescent boy complaining of hip pain, medial thigh pain, knee pain sometimes, onset of limp, decreased range of motion of hip

A) Slipped capital femoral epiphysis (SCFE)
B) Legg-Calve-Perthes disease
C) Developmental dysplasia of the hip (DDH)
D) Osteochondritis dissecans

1 Answer

1 vote

Final answer:

The obese adolescent boy with hip-related symptoms is most likely experiencing Slipped capital femoral epiphysis (SCFE), a common condition in adolescents, especially those who are obese. SCFE is characterized by the slipping of the femoral head at the growth plate, leading to pain and mobility issues. Other hip conditions require consideration as well, but SCFE matches the presented symptoms closely.

Step-by-step explanation:

An obese adolescent boy complaining of hip pain, medial thigh pain, knee pain sometimes, onset of limp, and decreased range of motion of the hip is most likely suffering from Slipped capital femoral epiphysis (SCFE). SCFE is a common hip disorder in adolescents where the femoral head slips backward and downward due to weakness at the growth plate. It is especially common in obese children and can manifest through the symptoms described by the student. Hip mobility problems and pain are common among various hip conditions, but in the context provided, SCFE is the most accurate diagnosis when compared with the other options like Legg-Calve-Perthes disease, Developmental dysplasia of the hip (DDH), and Osteochondritis dissecans.

The hip is highly susceptible to conditions such as osteoarthritis, which can lead to significant disability and may require surgical interventions like hip replacement surgery. Hip fractures, especially in the elderly, can lead to serious complications, including increased morbidity and mortality rates. Surgery, prolonged bed rest, and conditions like deep vein thrombosis and pulmonary embolism are important considerations in the treatment and recovery of hip-related injuries.

User Akobold
by
7.3k points