Question

An overweight adolescent boy complains of pain in his hip that radiates to the medial aspect of his knee. He denies trauma and has not had a fever. You note upon exam that he is walking with a limp. The most likely diagnosis is:

1) slipped capital femoral epiphysis
2) transient toxic synovitis
3) Legg-Calve-Perthes
4) septic arthritis

Answer 1

The most likely diagnosis for an overweight adolescent boy experiencing pain in his hip that radiates to the medial aspect of his knee, along with a limp, is slipped capital femoral epiphysis (SCFE).

Step-by-step explanation:

The most likely diagnosis for an overweight adolescent boy experiencing pain in his hip that radiates to the medial aspect of his knee, along with a limp, is slipped capital femoral epiphysis.

Slipped capital femoral epiphysis (SCFE) is a condition where the epiphysis (growth plate) of the femur slips from its normal position.

Obesity is a risk factor for SCFE, and the symptoms described are consistent with this condition.