Identification and management of unrecognized femoral head epiphysiolysis: a case report - Summary - MDSpire

Identification and management of unrecognized femoral head epiphysiolysis: a case report

  • By

  • Martina Ranieri

  • Maria Rizzo

  • Francesco Maria Lotito

  • Alessandro Aprato

  • Maria Alessio

  • Valentina Discepolo

  • Marina Russo

  • June 10, 2026

  • 0 min

Share

Objective:

To present a case of delayed diagnosis of slipped capital femoral epiphysis (SCFE) and highlight the importance of timely recognition for improving patient outcomes.

Approach:
    Key Findings:
    • SCFE is often misdiagnosed or diagnosed late, leading to worsened prognosis and increased risk of complications.
    • The patient exhibited typical symptoms of SCFE but was initially misdiagnosed with functional pain, delaying appropriate treatment.
    • Endocrinological conditions such as insulin resistance and delayed puberty were identified during evaluation, which may have contributed to the patient's condition.
    Interpretation:

    The case illustrates the need for heightened awareness of SCFE in adolescents presenting with lower limb pain, even when initial imaging appears normal, to facilitate timely diagnosis.

    Limitations:
    • The MRI conducted did not specifically evaluate the hips, limiting the diagnostic clarity.
    • Initial imaging studies were not available for direct review, which may affect the reliability of the findings.
    Conclusion:

    Timely diagnosis of SCFE is crucial to prevent complications and the need for more invasive treatments.

Original Source(s)

Related Content