History and Evaluation: 18 year old male presented with worsening left hip pain. Physical exam showed decreased range of motion and he walked with a moderate limp.
X rays showed evidence of an untreated SCFE (slipped capital femoral epiphysis) as well as a bony prominence (arrow) along the femoral neck resulting in severe left hip impingement.
Treatment: Treatment included a left hip surgical dislocation with femoral osteotomy, trochanteric advancement and partial labral resection to correct the impingement deformity (arrow) and address the labrum.
Outcome: Patient is pain free one year after surgery with improved range of motion. He has no limp and is unrestricted in his activities.