Bilateral slipped capital femoral epiphysis: a case report and review of literature.
Slipped capital femoral epiphysis (SCFE) is a common adolescent problem in the western populations but it is extremely rare in the Asian regions. We report a case management of a teen age boy (16 years old at the time of operation) with bilateral SCFE. After fall injury, the boy sustained SCFE on the left side and was treated. Again after six months with trivial injury he got SCFE on the right side. In both cases the boy was managed by closed reduction and percutaneous cannulated cancelleous screws fixation under c-arm fluoroscopy control. The cannulated screws were removed after one year of insertion confirming of a good fusion in plain x-ray films. During the regular follow up of up to one year the patient had good hip functions and other daily activities. The patient lost to follow up for about three years and suddenly presented to us with restricted hip joints movements and other activities. The x-ray showed tilted pelvis, reduced, incongruent hip joint spaces with malunited femoral physis, widened neck and tilted femoral head along with visible physeal scan on both sides. The patient and patient party are still satisfied with these results and reluctant to go for further surgical intervention.
Shrestha
S K
SK
Department of Orthopaedics and Trauma Surgery, Patan Hospital, Lalitpur, Nepal.
Devkota
P
P
Mainali
L P
LP
Pradhan
N
N
Acharya
B M
BM
Khan
J A
JA
Singh
M
M
Kharel
C M
CM
D000058:Accidental Falls; D000293:Adolescent; D001863:Bone Screws; D004839:Epiphyses, Slipped / Q000000981:diagnostic imaging / Q000601:surgery*; D005270:Femur Head / Q000000981:diagnostic imaging; D005471:Fluoroscopy; D006801:Humans; D008297:Male; D016059:Range of Motion, Articular