Bilateral slipping of the upper femoral epiphysis in end-stage renal failure. A report of two cases.
Two cases of bilateral slipping of the upper femoral epiphysis in boys with end-stage renal failure due to megacystis and mega-ureter with severe renal osteodystrophy are reported. In one patient the lesion emerged after a dystonic reaction to drugs and in the other after bilateral nephro-ureterectomy. Neither showed marked elevation of growth hormone levels, but both had evidence of renal rickets with severe secondary hyperparathyroidism. Both had a satisfactory response to bilateral internal fixation. The complication should be borne in mind in all young patients with renal osteodystrophy.
D000293:Adolescent; D002648:Child; D012080:Chronic Kidney Disease-Mineral and Bone Disorder / Q000150:complications; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D005270:Femur Head; D006801:Humans; D006962:Hyperparathyroidism, Secondary / Q000150:complications; D007676:Kidney Failure, Chronic / Q000150:complications*; D008297:Male; D011859:Radiography