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Bilateral Slipped Capital Femoral Epiphysis Due to Primary Hyperparathyroidism - A Case Report -

2009; Korean Orthopaedic Association; Volume: 44; Issue: 5 Linguagem: Inglês

10.4055/jkoa.2009.44.5.565

2005-8918

Tai-Seung Kim, Wan-Sun Choi,

Orthopaedic implants and arthroplasty

Slippage of the upper femoral epiphysis can occur in association with endocrine disorder. A 14-year-old male patient, who complained of pain on multiple joints including both hips, was diagnosed with bilateral slipped femoral epiphysis due to primary hyperparathyroidism. At a single operation, the epiphyses were pinned-in situ, and the tumor was removed. After parathyroidectomy, the calcium and the parathyroid hormone levels promptly resolved. The pinning-in situ of both femoral heads was done for the purpose of preventing further displacement of the femoral epiphyses, and we aimed for epiphysiodesis. The permanent biopsy of the tumor was parathyroid adenoma. The physes of both femoral heads were closed and the widened physes of both distal tibias resolved postoperatively.