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QUESTION 1 OF 1

104.The below plain pelvic x-ray of an 8-year-old girl who presented with 3-month history of knee pain and limping(Figure 1). There was no anemia or constitutional symptoms. The child did not have any past history of significance and she is fully vaccinated. Examination showed a global hip joint movement restriction with 0° abduction. Her blood tests (FBC, CRP, ESR, PCT and TFT) are all within normal.
The most appropriate treatment is:

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Figure 1.Anteroposterior(AP) radiograph pelvis

QUESTION ID: 1296

1. Adductors release and petri cast for 6 weeks
2. Bed rest until pain subsides then resume gradual activities.
3. Femoral varus osteotomy
4. Hip arthrodiastasis
5. Intensive physiotherapy