Familial slipped capital femoral epiphysis: a report and considerations in management.
BACKGROUND
Familial inheritance of slipped capital femoral epiphysis (SCFE) is known. It has not been described in non-identical twins. A family where the mother and three of five siblings developed SCFE were investigated and managed.


METHODS
Anthropometric measurement consisted of height-weight ratios. Serum sex hormone levels and bone Gla Protein was measured. Bone mineral densities were evaluated.


RESULTS
The affected siblings had higher bodyweight percentiles. Other investigations were within normal limits.


CONCLUSIONS
The unfavourable height-to-weight ratio was one of the mainstays in developing a management protocol for all siblings. The management protocol developed for the family is discussed.
Diwan
A
A
Department of Orthopaedic Surgery, St George Hospital, Sydney, New South Wales, Australia. a.diwan@unsw.edu.au
Diamond
T
T
Clarke
R
R
Patel
M K
MK
Murrell
G A
GA
Sekel
R
R
D000465:Algorithms; D004839:Epiphyses, Slipped / Q000235:genetics* / Q000628:therapy; D005260:Female; D005270:Femur Head; D006801:Humans; D008297:Male; D010375:Pedigree; D010641:Phenotype; D015431:Weight Loss