Bilateral Slipped Capital Femoral Epiphysis Due to Primary Hyperparathyroidism: A Case Report.
10.4055/jkoa.2009.44.5.565
- Author:
Tai Seung KIM
1
;
Wan Sun CHOI
Author Information
1. Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea. kimts@hanyang.ac.kr
- Publication Type:Case Report
- Keywords:
Slipped capital femoral epiphysis;
Primary hyperparathyroidism
- MeSH:
Adolescent;
Biopsy;
Calcium;
Displacement (Psychology);
Epiphyses;
Head;
Hip;
Humans;
Hyperparathyroidism, Primary;
Joints;
Male;
Parathyroid Hormone;
Parathyroid Neoplasms;
Parathyroidectomy;
Slipped Capital Femoral Epiphyses;
Tibia
- From:The Journal of the Korean Orthopaedic Association
2009;44(5):565-569
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Slippage of the upper femoral epiphysis can occur in association with endocrine disorder. A 14-year-old male patient, who complained of pain on multiple joints including both hips, was diagnosed with bilateral slipped femoral epiphysis due to primary hyperparathyroidism. At a single operation, the epiphyses were pinned-in situ, and the tumor was removed. After parathyroidectomy, the calcium and the parathyroid hormone levels promptly resolved. The pinning-in situ of both femoral heads was done for the purpose of preventing further displacement of the femoral epiphyses, and we aimed for epiphysiodesis. The permanent biopsy of the tumor was parathyroid adenoma. The physes of both femoral heads were closed and the widened physes of both distal tibias resolved postoperatively.
