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Original Contributions
June 22, 1964

Early Diagnosis of Slipping of the Upper Femoral Epiphysis

JAMA. 1964;188(12):1049-1052. doi:10.1001/jama.1964.03060380017005

In 26 cases of femoral epiphysiolysis the commonest complaints were a peculiar gait following minor trauma, often with accompanying knee pain. A Frölich habitus, limping, and diminished hip motions were the most frequently encountered clinical defects. A delayed diagnosis was made in 12 of 14 children having a history of trauma. Familial or patient reluctance to consult a physician, examiners' inaccuracies and low index of suspicion, and roentgenographic errors contributed to diagnostic delays. Since the duration of the slip, as well as severity and trauma, is important to the prognosis, the diagnosis of epiphysiolysis femoris must be excluded in the limping teenager.