Top

Published in:

Open Access 01-12-2021 | Slipped Capital Femoral Epiphysis | Case report

“Slipped capital femoral epiphysis in a 25-year-old hypogonadic man with a large cranial chondroma: causality or coincidence? “

Authors: Nadia Sawicka-Gutaj, Waldemar Woźniak, Jakub Naczk, Mateusz Pochylski, Jacek Kruczyński, Bartłomiej Budny, Ewelina Szczepanek-Parulska, Marek Ruchała

Published in: BMC Endocrine Disorders | Issue 1/2021

Abstract

Background

Slipped capital femoral epiphysis (SCFE) is a hip disorder frequently occurring in adolescence. In adults it is rare and so far very few cases have been documented.

Case presentation

This report presents a 25-year-old patient diagnosed with an anterior fossa giant chondroma, hypogonadotropic hypogonadism, and SCFE. The patient underwent surgical and hormonal therapy. His symptoms revealed, and he became a father.

Conclusions

Every patient diagnosed with SCFE in adulthood should undergo endocrinological assessment based on physical examination and laboratory tests.

Leunig M, Casillas MM, Hamlet M, Hersche O, Nötzli H, Slongo T, et al. Slipped capital femoral epiphysis: early mechanical damage to the acetabular cartilage by a prominent femoral metaphysis. Acta Orthop Scand. 2000 Aug;71(4):370–5. https://doi.org/10.1080/000164700317393367.CrossRefPubMed

Peck DM, Voss LM, Voss TT. Slipped capital femoral epiphysis: diagnosis and management. Am Fam Physician. 2017 Jun 15;95(12):779–84.PubMed

Ucpunar H, Camurcu IY, Duman S, Ucpunar E, Sofu H, Bayhan AI. Obesity-related metabolic and endocrine disorders diagnosed during postoperative follow-up of slipped capital femoral epiphysis. Acta Orthop. 2018 May 4;89(3):314–9. https://doi.org/10.1080/17453674.2018.1445167.CrossRefPubMedPubMedCentral

Perry DC, Metcalfe D, Lane S, Turner S. Childhood Obesity and Slipped Capital Femoral Epiphysis. Pediatrics. 2018 Nov;142(5).

Swarup I, Goodbody C, Goto R, Sankar WN, Fabricant PD. Risk factors for contralateral slipped capital femoral epiphysis: a meta-analysis of cohort and case-control studies. J Pediatr Orthop. 2020 Jul;40(6):e446–53. https://doi.org/10.1097/BPO.0000000000001482.CrossRefPubMed

Loder RT, Wittenberg B, DeSilva G. Slipped capital femoral epiphysis associated with endocrine disorders. J Pediatr Orthop. 1995;15(3):349–56. https://doi.org/10.1097/01241398-199505000-00018.CrossRefPubMed

Acosta AM, Steinman SE, White KK. Orthopaedic manifestations in Turner syndrome. J Am Acad Orthop Surg. 2019 Dec 1;27(23):e1021–8. https://doi.org/10.5435/JAAOS-D-17-00796.CrossRefPubMed

Nasrallah MP, Der-Boghossian AH, Haidar RK. Slipped capital femoral epiphysis in a patient with Turner syndrome receiving growth hormone therapy. Endocr Pract Off J Am Coll Endocrinol Am Assoc Clin Endocrinol. 2012;18(6):e135–7.

Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg (Br). 2001;83(8):1119–24. https://doi.org/10.1302/0301-620X.83B8.0831119.CrossRef

10.

Masquijo JJ, Allende V, D’Elia M, Miranda G, Fernández CA. Treatment of slipped capital femoral epiphysis with the modified Dunn procedure: a multicenter study. J Pediatr Orthop. 2019 Feb;39(2):71–5. https://doi.org/10.1097/BPO.0000000000000936.CrossRefPubMed

11.

Agashe MV, Pinto DA, Vaidya S. Modified Dunn osteotomy for moderate and severe slipped capital femoral epiphysis - a retrospective study of thirty hips. Indian J Orthop. 2021 Feb;55(1):100–8. https://doi.org/10.1007/s43465-020-00156-w.CrossRefPubMed

12.

Galletta C, Aprato A, Giachino M, Marre Brunenghi G, Boero S, Turchetto L, et al. Modified Dunn procedure versus percutaneous pinning in moderate/severe stable slipped capital femoral epiphyses. Hip Int J Clin Exp Res Hip Pathol Ther. 2021;8:11207000211004862.

13.

Lerch TD, Vuilleumier S, Schmaranzer F, Ziebarth K, Steppacher SD, Tannast M, et al. Patients with severe slipped capital femoral epiphysis treated by the modified Dunn procedure have low rates of avascular necrosis, good outcomes, and little osteoarthritis at long-term follow-up. Bone Jt J. 2019;101-B(4):403–14. https://doi.org/10.1302/0301-620X.101B4.BJJ-2018-1303.R1.CrossRef

14.

Goodman DA, Feighan JE, Smith AD, Latimer B, Buly RL, Cooperman DR. Subclinical slipped capital femoral epiphysis. Relationship to osteoarthrosis of the hip. J Bone Joint Surg Am. 1997;79(10):1489–97. https://doi.org/10.2106/00004623-199710000-00005.CrossRefPubMed

15.

Passaplan C, Gautier L, Gautier E. Long-term follow-up of patients undergoing the modified Dunn procedure for slipped capital femoral epiphysis. Bone Jt Open. 2020 Apr;1(4):80–7. https://doi.org/10.1302/2633-1462.14.BJO-2020-0010.R1.CrossRefPubMedPubMedCentral

16.

Crowder C, Austin D. Age ranges of epiphyseal fusion in the distal tibia and fibula of contemporary males and females. J Forensic Sci. 2005 Sep;50(5):1001–7.CrossRef

17.

Nhamoucha Y, Tazi M, Abdellaoui H, Alaoui O, Andaloussi S, Oukhoya M, et al. Slipped capital femoral epiphysis in a patient with cerebral palsy due to seizure. Pan Afr Med J. 2018;31:89.CrossRef

18.

Macía-Villa CC, Sanchez-Lite I, Medina-Luezas J. Slipped capital femoral epiphysis in adults: case report and review of literature. Reumatismo. 2016 Jun 23;68(1):40–7. https://doi.org/10.4081/reumatismo.2016.860.CrossRefPubMed

19.

Speirs JN, Morris SC, Morrison MJ. Slipped Capital Femoral Epiphysis in an Adult Patient With Kabuki Syndrome. J Am Acad Orthop Surg Glob Res Rev. 2019 Oct;3(10).

20.

Herngren B, Stenmarker M, Vavruch L, Hagglund G. Slipped capital femoral epiphysis: a population-based study. BMC Musculoskelet Disord. 2017 Dec;18(1):304. https://doi.org/10.1186/s12891-017-1665-3.CrossRefPubMedPubMedCentral

21.

Kumar G, Mathew V, Kandathil JC, Theruvil B. Primary hyperparathyroidism presenting as slipped capital femoral epiphysis. Postgrad Med J. 2020 Apr;96(1134):235–6. https://doi.org/10.1136/postgradmedj-2019-136811.CrossRefPubMed

22.

Al-Aswad BI, Weinger JM, Schneider AB. Slipped capital femoral epiphysis in a 35-year-old man (a case report). Clin Orthop. 1978;134:131–4.

23.

Huang K-C, Hsu RW-W. Slipped capital femoral epiphysis in a 23-year-old man -- a case report. Acta Orthop. 2007;78(5):696–7. https://doi.org/10.1080/17453670710014428.CrossRefPubMed

Title: “Slipped capital femoral epiphysis in a 25-year-old hypogonadic man with a large cranial chondroma: causality or coincidence? “
Authors: Nadia Sawicka-Gutaj
Waldemar Woźniak
Jakub Naczk
Mateusz Pochylski
Jacek Kruczyński
Bartłomiej Budny
Ewelina Szczepanek-Parulska
Marek Ruchała
Publication date: 01-12-2021
Publisher: BioMed Central
Keywords: Slipped Capital Femoral Epiphysis
chondroma
Hypogonadism
Published in: BMC Endocrine Disorders / Issue 1/2021
Electronic ISSN: 1472-6823
DOI: https://doi.org/10.1186/s12902-021-00828-0

Live Webinar | 27-06-2024 | 18:00 (CEST)

Keynote webinar | Spotlight on medication adherence

Reserve your place

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

WHO estimates that half of all patients worldwide are non-adherent to their prescribed medication. The consequences of poor adherence can be catastrophic, on both the individual and population level.

Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.

Prof. Kevin Dolgin

Prof. Florian Limbourg

Prof. Anoop Chauhan

Developed by: Springer Medicine

Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits

Illustration of figure on mountain summit/© Orapun / Stock.adobe.com, STEP AAG HeroTeaserCollection image/© Tarek / Generated with AI / Stock.adobe.com, ACC 2024 Pediatric and Congenital Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Pulmonary Vascular Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 Valvular Heart Disease: Year in Review/© 2024 American College of Cardiology, ACC 2024 HF and Cardiomyopathies: Year in Review/© 2024 American College of Cardiology, Woman out walking/© Seventyfour / stock.adobe.com (symbolic image with model), Woman checking smartwatch /© saltdium / stock.adobe.com (symbolic image with model), Cardiac catheterization/© Damian / stock.adobe.com

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusions

Please log in to get access to this content

Other articles of this Issue 1/2021

Congenital nephrogenic diabetes insipidus accompanied with central nephrogenic diabetes secondary to pituitary surgery -a case report

Is diabetes mellitus a risk factor for low bone density: a systematic review and meta-analysis

Concurrence of overt Cushing’s syndrome and primary aldosteronism accompanied by aldosterone-producing cell cluster in adjacent adrenal cortex: case report

Role of Artesunate on cardiovascular complications in rats with type 1 diabetes mellitus

Upfront F18-choline PET/CT versus Tc99m-sestaMIBI SPECT/CT guided surgery in primary hyperparathyroidism: the randomized phase III diagnostic trial APACH2

Synchronous intrathyroidal parathyroid carcinoma and thyroid carcinoma: case report and review of the literature

Live: Thursday 27th June 2024, 18:00-19:30 (CEST)

Highlights from the ACC 2024 Congress

ACC 2024 Congress Coverage