1. I diagnose the patient as having slipped capital femoral epiphysis. I believe her condition is stable, but will worsening if not treated. She claims that the pains come and go, especially after engaging in physical activity, but two weeks after going to the doctor, she is unable to lift herself out of the pool. She needs assistance from her father. Her lower leg is also laterally rotated. She is a 10 year- old girl who is very active, but still obese for her age, weighing 135 lbs.
“Slipped capital femoral epiphysis is a well known disorder of the hip in adolescents that is characterized by displacement of the capital femoral epiphysis from the metaphysic through the physic… The vast majority of children with a slipped capital femoral epiphysis …show more content…
Tammy has no swelling or discoloration around her knee, and the X-ray shows no fractures in the hip or knee. The hip is not fractures, but the capital femoral epiphysis has been displaced. Her knee pain is a direct result of her injury. The femur is connected to the hip and the patella. If one area is affected or out of sorts, the other will be affected as in. This is an injury of the hip, but she experiences pain in her left knee.
This type of injury often leads to something called referred pain. This means that the pain comes from one source, but is felt somewhere else. In Tammy’s situation, this explains the pain she feels in her knee that is a result of the hip injury. The nerves in her left leg have become irritated, causing her to feel pain in her patella. Knee pain may also result from “patellofemoral syndromes, Osgood-Schlatter disease, patellar tendonitis, or chondromalacia patella, to name a few” (Katz, 2006).
3. The X-rays of both the hip and the knee both prove to be negative for fractures. This would usually mean that the pain she is feeling is just a passing thing, or it is something else. In this case, it is something else. She has no fracture in her hip or knee, which means another type of technique is
“Slipped capital femoral epiphysis is a well known disorder of the hip in adolescents that is characterized by displacement of the capital femoral epiphysis from the metaphysic through the physic… The vast majority of children with a slipped capital femoral epiphysis …show more content…
Tammy has no swelling or discoloration around her knee, and the X-ray shows no fractures in the hip or knee. The hip is not fractures, but the capital femoral epiphysis has been displaced. Her knee pain is a direct result of her injury. The femur is connected to the hip and the patella. If one area is affected or out of sorts, the other will be affected as in. This is an injury of the hip, but she experiences pain in her left knee.
This type of injury often leads to something called referred pain. This means that the pain comes from one source, but is felt somewhere else. In Tammy’s situation, this explains the pain she feels in her knee that is a result of the hip injury. The nerves in her left leg have become irritated, causing her to feel pain in her patella. Knee pain may also result from “patellofemoral syndromes, Osgood-Schlatter disease, patellar tendonitis, or chondromalacia patella, to name a few” (Katz, 2006).
3. The X-rays of both the hip and the knee both prove to be negative for fractures. This would usually mean that the pain she is feeling is just a passing thing, or it is something else. In this case, it is something else. She has no fracture in her hip or knee, which means another type of technique is