طفل عمره ١٢ سنة زائد الوزن، عنده عرج منذ ٣ أسابيع وألم في الركبة اليسرى، والورك الأيسر محدود الدوران للداخل. الحرارة طبيعية. ما الذي يجب التفكير فيه؟

A 12-year-old overweight boy has limped for 3 weeks with left knee pain, and his left hip has limited internal rotation. He is afebrile. What must be considered?

1. A simple knee sprain
2. Slipped capital femoral epiphysis
3. Ordinary childhood growing pains
4. Sports tendinitis

Answer: B) Slipped capital femoral epiphysis. Knee pain in a child can come from the hip. An overweight adolescent with a limp and reduced internal rotation suggests SCFE; he is kept non-weight-bearing and referred for surgical fixation.