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14 year old boy presenting with complaints of pain in the left thigh and not able to weight bear and walk on the left leg for the past 15 days came to our opd after initial treatment with analgesics in a different medical centre. Routine plain radiographs of the hip showed that he had left hip slipped capital femoral epiphysis. He underwent left hip pinning with screw fixation.
He was pain free from post operative day 1 and mobilised with walker support and later without walker support.
Adolescent children presenting with hip and knee pain should never be ignored and taken lightly. They should always be investigated and treated appropriately.
Slipped capital femoral epiphysis (SCFE) is condition where the slippage occurs in the growth plate of hip, many times occurring without any predisposing injury/trauma.
Note : Clinical and radiographic pictures have been uploaded for awareness purpose  after obtaining consent from the patient and the guardian.

The 71-year-old lady came to our medical center with an alleged history of slip and fall at the home following which she was unable to walk and had severe pain in her right hip. She was diagnosed to have a right hip fracture. The lady was operated on the next day following routine investigations. You can see her walking with walker support on the next day of surgery. At around 2 months following surgery, she was able to walk normally without any aide.

The quality of life of elderly people having fractures can be significantly improved when they are appropriately managed on time. It is important to know that delaying these procedures and keeping the patient bedridden could lead to serious complications such as bedsores, deep vein thrombosis, Pulmonary embolism, etc. When they are treated and made to walk immediately both their physical and social well-being could be improved.

Note: Clinical and radiographic pictures have been uploaded for awareness purposes after obtaining consent from the patient and the guardian.

The 21-year young gentleman came with an injury to his thumb finger in an industrial accident. He had a circumferential cut around the middle of the finger exposing the bone and soft tissue. He was taken up as an emergency procedure and his finger was reconstructed. Four weeks following the procedure he was rehabilitated and he was back to work around 2 months since the injury.

Note: Clinical and radiographic pictures have been uploaded for awareness purposes after obtaining consent from the patient and the guardian.

A 50-year-old gentleman who is a crane operator by occupation had pain in his left hip and difficulty in walking for the past 2 years. he had no history of any recent trauma. He has been on pain medication on and off to manage his symptoms. He had an alleged history road traffic accident 10 years back where he suffered multiple injuries around his pelvis which were managed conservatively earlier. On examination, he had a painful restriction of movement on his left hip and he was not able to move his left ankle up (Foot drop is a condition due to injury of a nerve in the leg causing loss of active movements in the ankle).

His x-ray showed complete Arthritis of the left hip. He underwent a left total hip replacement. Following the surgery, He was made to walk on the next day of surgery. He was gradually weaned off the walker and completely ambulatory at 8 weeks of surgery.

To explain the nature of the problem, This gentleman had an injury around the hip 10 years back. During the injury his blood supply to the left hip joint might have been damaged, the condition which is medically termed as AVASCULAR NECROSIS OF THE HIP. Even though he had no symptoms for 8 years since the injury, his injured hip joint due to constant wear and tear of his heavy manual labour gradually worsened and lead to arthritic changes. Once his hip joint was replaced he was able to walk and move pain-free immediately after the surgery.

Note: Clinical and radiographic pictures have been uploaded for awareness purposes after obtaining consent from the patient and the guardian.

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