In slipped capital femoral epiphysis (SCFE), which factor is an indication for prophylactic fixation of the contralateral (uninvolved) hip?
- A Endocrinopathy (hypothyroidism, growth hormone deficiency) ✓
- B Obesity (BMI >95th percentile)
- C Age at presentation 12 years or older
- D Male sex
Correct answer: A. Endocrinopathy (hypothyroidism, growth hormone deficiency)
Explanation
Prophylactic pinning of the contralateral hip is considered in patients with an endocrinopathy (hypothyroidism, growth hormone deficiency, hypopituitarism) because bilateral involvement approaches 60-80% and the risk-benefit ratio favors prevention. Age, obesity, and male sex are risk factors but are not standalone indications for contralateral prophylaxis in most protocols.
Reference: Rockwood and Wilkins' Fractures in Children, 9th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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