Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism
Slipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently. We report a case...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2017/8981250 |
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| author | Yoshihiro Kotoura Yasuhiro Fujiwara Tatsuro Hayashida Koji Murakami Satoshi Makio Yuichi Shimizu Yoshinobu Oka Wook-Choel Kim Taku Ogura Toshikazu Kubo |
| author_facet | Yoshihiro Kotoura Yasuhiro Fujiwara Tatsuro Hayashida Koji Murakami Satoshi Makio Yuichi Shimizu Yoshinobu Oka Wook-Choel Kim Taku Ogura Toshikazu Kubo |
| author_sort | Yoshihiro Kotoura |
| collection | DOAJ |
| description | Slipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently. We report a case of valgus SCFE in a 17-year-old boy with hypopituitarism. After falling down, he experienced difficulty in walking. The radiographs were inconclusive; however three-dimensional computed tomography images showed lateral displacement of the epiphysis on the right femoral head. Valgus SCFE was diagnosed. The patient underwent in situ pinning of both sides. In situ pinning on the left side was performed as a prophylactic pinning because of endocrine abnormalities. At the 1-year follow-up, he could walk without any difficulty and there were no signs of pain. The epiphysis is commonly positioned more posteromedially in relation to the femoral neck shaft with most SCFE, but, in this case, the epiphysis slipped laterally. Differential diagnosis included femoral neck fracture (Delbet-Colonna type 1); however, this was less likely due to the absence of other clinical signs. Therefore, we diagnosed the patient as SCFE. When children complain of leg pain and limp, valgus SCFE that may not be visualized on anteroposterior radiographs needs to be considered. |
| format | Article |
| id | doaj-art-30706fd6d18d4fd894d0e18ecd96e4c7 |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-30706fd6d18d4fd894d0e18ecd96e4c72025-08-20T02:07:53ZengWileyCase Reports in Orthopedics2090-67492090-67572017-01-01201710.1155/2017/89812508981250Valgus Slipped Capital Femoral Epiphysis in Patient with HypopituitarismYoshihiro Kotoura0Yasuhiro Fujiwara1Tatsuro Hayashida2Koji Murakami3Satoshi Makio4Yuichi Shimizu5Yoshinobu Oka6Wook-Choel Kim7Taku Ogura8Toshikazu Kubo9Department of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanDepartment of Orthopaedic Surgery, Nantan General Hospital, Nantan, JapanDepartment of Orthopaedics, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, JapanSlipped capital femoral epiphysis (SCFE) is a common disease of adolescent and the epiphysis is positioned more posteromedially in relation to the femoral neck shaft with varus SCFE; however, posterolateral displacement of the capital epiphysis, valgus SCFE, occurs less frequently. We report a case of valgus SCFE in a 17-year-old boy with hypopituitarism. After falling down, he experienced difficulty in walking. The radiographs were inconclusive; however three-dimensional computed tomography images showed lateral displacement of the epiphysis on the right femoral head. Valgus SCFE was diagnosed. The patient underwent in situ pinning of both sides. In situ pinning on the left side was performed as a prophylactic pinning because of endocrine abnormalities. At the 1-year follow-up, he could walk without any difficulty and there were no signs of pain. The epiphysis is commonly positioned more posteromedially in relation to the femoral neck shaft with most SCFE, but, in this case, the epiphysis slipped laterally. Differential diagnosis included femoral neck fracture (Delbet-Colonna type 1); however, this was less likely due to the absence of other clinical signs. Therefore, we diagnosed the patient as SCFE. When children complain of leg pain and limp, valgus SCFE that may not be visualized on anteroposterior radiographs needs to be considered.http://dx.doi.org/10.1155/2017/8981250 |
| spellingShingle | Yoshihiro Kotoura Yasuhiro Fujiwara Tatsuro Hayashida Koji Murakami Satoshi Makio Yuichi Shimizu Yoshinobu Oka Wook-Choel Kim Taku Ogura Toshikazu Kubo Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism Case Reports in Orthopedics |
| title | Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism |
| title_full | Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism |
| title_fullStr | Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism |
| title_full_unstemmed | Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism |
| title_short | Valgus Slipped Capital Femoral Epiphysis in Patient with Hypopituitarism |
| title_sort | valgus slipped capital femoral epiphysis in patient with hypopituitarism |
| url | http://dx.doi.org/10.1155/2017/8981250 |
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