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Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism
Joint Authors
Kotoura, Yoshihiro
Fujiwara, Yasuhiro
Hayashida, Tatsuro
Murakami, Koji
Makio, Satoshi
Shimizu, Yuichi
Oka, Yoshinobu
Kim, Wook-Choel
Ogura, Taku
Kubo, Toshikazu
Source
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-01-05
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Slipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently.
We report a case of valgus SCFE in a 17-year-old boy with hypopituitarism.
After falling down, he experienced difficulty in walking.
The radiographs were inconclusive; however three-dimensional computed tomography images showed lateral displacement of the epiphysis on the right femoral head.
Valgus SCFE was diagnosed.
The patient underwent in situ pinning of both sides.
In situ pinning on the left side was performed as a prophylactic pinning because of endocrine abnormalities.
At the 1-year follow-up, he could walk without any difficulty and there were no signs of pain.
The epiphysis is commonly positioned more posteromedially in relation to the femoral neck shaft with most SCFE, but, in this case, the epiphysis slipped laterally.
Differential diagnosis included femoral neck fracture (Delbet-Colonna type 1); however, this was less likely due to the absence of other clinical signs.
Therefore, we diagnosed the patient as SCFE.
When children complain of leg pain and limp, valgus SCFE that may not be visualized on anteroposterior radiographs needs to be considered.
American Psychological Association (APA)
Kotoura, Yoshihiro& Fujiwara, Yasuhiro& Hayashida, Tatsuro& Murakami, Koji& Makio, Satoshi& Shimizu, Yuichi…[et al.]. 2017. Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism. Case Reports in Orthopedics،Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1148479
Modern Language Association (MLA)
Kotoura, Yoshihiro…[et al.]. Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism. Case Reports in Orthopedics No. 2017 (2017), pp.1-4.
https://search.emarefa.net/detail/BIM-1148479
American Medical Association (AMA)
Kotoura, Yoshihiro& Fujiwara, Yasuhiro& Hayashida, Tatsuro& Murakami, Koji& Makio, Satoshi& Shimizu, Yuichi…[et al.]. Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism. Case Reports in Orthopedics. 2017. Vol. 2017, no. 2017, pp.1-4.
https://search.emarefa.net/detail/BIM-1148479
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1148479