Talk to Orthopedic Surgeon on Hip Joint Problem
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
Dr. Mukesh Kumar - Orthopedic Surgeon
MBBS, MRCS, FCPS (Ortho Surgery) | Karachi
10 Positive Reviews
no report attached
Plz show the pt Hip pain is ufually felt in in kids better show the pt thanks
Assoc. Prof. Dr. Muhammad Bilal - Orthopedic Surgeon
MBBS, FCPS, FRCS (Orthopedics) England, Fellowship (Shoulder Surgery) UK | Lahore
147 Positive Reviews
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.
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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.
1 year ago
MBBS, FCPS, FRCS (Orthopedics) England, Fellowship (Shoulder Surgery) UK | Lahore | Book Appointment
115 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.
1 year ago
Assoc. Prof. Dr. Mohammad Bilal Raza - Orthopedic Surgeon
MBBS, FCPS, A.O. Trauma, ATLS (USA) | Lahore
60 Positive Reviews
Needs few blood reports and MRI also to decide about surgical or non surgical treatment
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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
1 year ago
Dr. Mukesh Kumar - Orthopedic Surgeon
MBBS, MRCS, FCPS (Ortho Surgery) | Karachi
10 Positive Reviews
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.
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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.
1 year ago