line of Klein
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Review for
the generalist: evaluation of pediatric hip pain. Klein"s line in normal situation versus in slipped capital femoral epiphysis [13]. Klein"s line is drawn along the radiographic border of the neck of the femur. This line should intersect the epiphysis. A, Klein"s line in normal situation. B, Alignment of Klein"s line with slip: the epiphysis is out of alignment.
The line of Klein describes a line along the superior edge of the neck of the femur. It is useful in detecting early slipped upper femoral epiphysis in adolescents. The line should normally intersect the lateral part of the superior femoral epiphysis. If the line of Klein fails to intersect the epiphysis during the acute phase, it is called Trethowan sign . In very subtle cases, asymmetry between the lines of Klein might be the only way of determining a slipped upper femoral epiphysis.
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