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CASE REPORT
Year : 2014  |  Volume : 2  |  Issue : 2  |  Page : 117-119

Slipped capital femoral epiphysis in a healthy 5-year-old child: A case report and literature review


1 Department of Surgery, Division of Orthopedic Surgery, McGill University, Canada; Department of Orthopedic Surgery, University of Dammam, Dammam, Kingdom of Saudi Arabia
2 Department of Surgery, Division of Orthopedic Surgery, McGill University, Canada

Correspondence Address:
Saad M Al Qahtani
McGill University Health Centre, C9.173 Montreal General Hospital, 1650 Cedar Avenue, Montreal, Quebec, H3G 1A4, Canada

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DOI: 10.4103/1658-631X.137009

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Slipped capital femoral epiphysis (SCFE) is an adolescent hip disorder of increasing prevalence, particularly within patients aged younger than 10 years. When present in these younger patients, SCFE is usually associated with metabolic abnormality or endocrinopathy. We present a case of a 5-year-old boy with idiopathic SCFE who underwent staged bilateral pinning in situ using a uniquely modified smooth wire for fixation across the physis. He eventually required bilateral screw revision after outgrowing the initial screws. At follow-up 3 years later, the patient was pain free with satisfactory hardware placement. He will be closely monitored, as he will likely need further surgical revision once he outgrows the second set of fixation screws.


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