History and Evaluation: This 12 year old female (previously treated for bilateral SCFE) presented with continued left hip pain. She had left SCFE pinning 2 years prior and right hip pinning 1 year prior. Imaging studies showed a residual SCFE deformity. The impingement bump is demonstrated on the preoperative x rays (arrow). She was diagnosed with severe hip impingement secondary to the residual SCFE deformity.
Treatment: The patient was treated with surgical hip dislocation and proximal femoral osteotomy, femoral head/neck reshaping, trochanteric advancement, acetabular rim trimming and labral repair.
Outcome: Patient is doing extremely well 12 months after surgery. She is pain free and has returned to full activities.