Legg-Calve-Perthes disease and slipped capital femoral epiphysis Quiz: Ace Your Exams

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A 5-year-old boy is brought to the pediatrician for evaluation of an abnormal gait. A caregiver reports that the child has been limping at home and struggling to keep up with friends at the park. The child is otherwise healthy with no prior medical issues and has been eating and drinking normally. There is no history of recent illness. Vital signs are within normal limits. When asked to stand on his right leg, the patient’s pelvis drops to the left. Examination of the right hip reveals anterior thigh muscle atrophy, and a shortened right leg compared to the left. Which of the following findings best supports the diagnosis?

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Limited internal rotation and abduction of the hip

Absence of pain

Fever

Positive family history of orthopedic disease

Obesity