Slipped Capital Femoral Epiphysis in a 29-Year-Old Hypothyroid Male. A Case Report.

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We report a case of slipped capital femoral epiphysis (SCFE) in an adult male associated with hypothyroidism.A 29-year-old male presented to Nagasaki University Hospital with a six-year history of limp and relapsing pain in his right hip. He had consulted with another hospital because of his pain, however, SCFE had been neglected even though the proximal femoral growth plate had been noticed to be still open.He had a short stature of 152cm which had ceased growth at the age of 13, he also showed a characteristic myxedematous face and dry skin in his appearance.Laboratory findings revealed nearly normal includig various hormonal values, which perhaps refleted the thyroid supplement therapy that had commenced since two months prior to presentation to our clinic. Radiographs showed a moderate slip of the femoral capital epiphysis on the slipped side and had not developed so-called "posterior beak" in spite of a chronic course of six years in history, which might imply of some sort of deficiency of bone metabolism.Open reduction (Dunn's procedure) for this SCFE and prophylactic pinning in situ for the non-slipped side were performed for this condition. This patient has returned to his previous post having a good clinical course without any complications.
西日本整形・災害外科学会の論文