Sleep Epithesis

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Gonad protection is usually used in pelvic x-rays of children.

However, there should always be one radiograph without the lead protection so that the entire pelvis is visualized.

While the main Gōrāni language area, to the west of Kermānæāh, is an island in a sea of chiefly Kurdish dialects, the Hawrāmān now forms a separate islet to the north.

It is clear, however, that the neighboring Kurdish dialects have encroached on a much wider Gōrāni area and have been considerably affected in the process.

On the AP, a line drawn up the lateral edge of the femoral neck (line of Klein) fails to intersect the epiphysis during the acute phase (Trethowan sign).

The metaphysis is displaced laterally and therefore may not overlap posterior lip of the acetabulum as it should normally (loss of triangular sign of Capener) .

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Slipped upper femoral epiphysis is more common in boys than girls and more common in Afro-Caribbeans than Caucasians.

The age of presentation is somewhat dependent on gender with boys presenting later (10-17 years) than girls (8-15 years) . Patients present with hip pain progressing to a limp and even leg length discrepancy.


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