Orthopedics Sponsors do not influence content. The goal of treatment is to avoid severe degenerative arthritis. The capital femoral epiphysis always is involved.
Outcome is extremely variable.
Caucasians are affected more frequently than other races. Symptoms usually have been present for weeks because the child often does not complain. Thigh circumference on the involved side will be smaller than on the unaffected side secondary to disuse. This test should invoke guarding or spasm, especially with internal rotation. Bone infarction occurs, especially in the subchondral cortical bone, while articular cartilage continues to grow.