A tall thin girl aged eleven limps into your consulting rooms. She complains of pain in the area of the left hip which developed while competing in her school athletics carnival one week before. List the differential diagnosis.

A tall thin girl aged eleven limps into your consulting rooms. She complains of pain in the area of the left hip which developed while competing in her school athletics carnival one week before.

  1. List the differential diagnosis.
  2. How would the history help you?
  3. How would the physical examination help you?
  4. Discuss the special investigations.
  5. If the x-rays show a 30% slip of the femoral capital epiphysis and some new bone formation, describe your surgical treatment.

 

(30 minutes)

  1. Classify acute injuries of the acromioclavicular joint.
  2. Discuss the statement “Acute acromioclavicular separation should never be treated surgically”.

 

(30 minutes)

A 20 year old rugby player complains of neck pain and paraesthesiae in both hands after being tackled. You are called from the side line on to the field to examine him.

  1. Describe the appropriate management of this person until a definitive diagnosis is made.

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