American Board of Surgical Assistants (ABSA) Orthopedic Practice Test

What is the most common femoral fracture seen in obese children?

1. Transverse femoral fracture

2. Slipped femoral epiphysis

3. Oblique femoral fracture

4. Spiral femoral fracture

The correct answer is: Slipped femoral epiphysis

The most common femoral fracture seen in obese children is indeed related to slipped femoral epiphysis. This condition occurs when the head of the femur slips off the neck of the femur at the growth plate, often due to weakness in the growth plate area. Obesity is a significant risk factor for this condition as it can increase the stress on the hip joint and the growth plate, leading to displacement. In the context of pediatric hip injuries, slipped femoral epiphysis is especially pertinent because it often occurs during periods of rapid growth, typically in overweight children. The excess weight may contribute to the instability of the growth plate, making it more susceptible to slippage. Unlike other fracture types, such as transverse, oblique, or spiral fractures, which are more commonly associated with trauma or falls, slipped femoral epiphysis is a unique condition that emphasizes the importance of growth plate stability and the impact of obesity on musculoskeletal health in this demographic. Understanding the implications of obesity in relation to slipped femoral epiphysis highlights the need for monitoring and early intervention in high-risk children to prevent complications that can lead to long-term hip problems. This awareness is vital for healthcare providers when assessing potential injuries related to femoral displacement in obese pediatric