POSSIBILITIES OF TRADITIONAL RADIOLOGIC DIAGNOSIS OF JUVENILE EPIPHYSEOLYSIS FEMORAL HEAD

Abstract

This article presents a clinical case with an indication of the possibilities of classical radiography for the diagnosis of juvenile epiphyseolysis of the femoral head. This disease is believed to be an endocrine-orthopedic pathology and occurs in pubertal children, more often in boys. Early clinical symptoms in epiphysiolysis are recurrent pain in the hip and knee joints, fatigue, lameness, and limitation of internal rotation of the hip. As an instrumental method of investigation, it is recommended to use classical bilateral radiography of hip joints in direct and axial projections. The main problem in diagnosing this disease in the early stages is the absence of specific patient complaints and characteristic radiologic signs, so most patients seek help when there is already epiphysiolysis. To make a diagnosis, it is necessary to take into account the patient’s history, determine the fact of displacement of the femoral head epiphysis along the growth zone line, and use additional criteria such as Southwick’s angle, Klein’s line, and SteelKlein’s line.