Slipped capital femoral epiphyses in a patient with primary hyperparathyroidism.
Slipped capital femoral epiphyses are rarely associated with primary hyperparathyroidism, and only four cases have been documented in the English literature. We report such a case. A 13-year-old boy presented with bilateral slipped capital femoral epiphyses. Investigation showed that he had primary hyperparathyroidism due to a parathyroid adenoma. The adenoma was removed, and then the epiphyses were pinned in situ 3 weeks later. The pins were removed 3 months postoperatively when the physes had closed. The patient had a painless hip 1 year later at follow-up. We concluded that identification and excision of the hyperparathyroid adenoma and in situ pinning of the slipped epiphyses results in satisfactory treatment of the condition.
Yang
W E
WE
Department of Orthopaedic Surgery, Chang Gung Memorial Hospital, Chang Gung Medical College, Taoyuan, Taiwan ROC.
Shih
C H
CH
Wang
K C
KC
Jeng
L B
LB
D000236:Adenoma / Q000150:complications / Q000601:surgery; D000293:Adolescent; D004839:Epiphyses, Slipped / Q000150:complications* / Q000601:surgery; D006801:Humans; D006961:Hyperparathyroidism / Q000150:complications* / Q000601:surgery; D008297:Male; D010282:Parathyroid Neoplasms / Q000150:complications / Q000601:surgery