A 13-year-old boy weighing 92 kg attends the emergency department with six weeks of left knee ache and a limp.…

Question

A 13-year-old boy weighing 92 kg attends the emergency department with six weeks of left knee ache and a limp. Radiographs of the pelvis show a mild slip of the left capital femoral epiphysis. He walked into the department, and his pain has settled after paracetamol. He is otherwise well and his observations are normal. The orthopaedic registrar is operating and will be free in about two hours. Which one of the following should be done first?

Accepted Answer

Admit him and keep him non-weight-bearing

Answer

Arrange thyroid function tests

Answer

Book a weight-management clinic review

Answer

Give crutches and refer to physiotherapy

Answer

Request magnetic resonance imaging of both hips

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