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Treatment of SCFE in a healthy 5-year-old child: case report and review

Lazar, Meredith A.; Van Gelderen, Jeffrey T.; Chu, Alice

Journal of Pediatric Orthopaedics B: July 2011 - Volume 20 - Issue 4 - p 232–237
doi: 10.1097/BPB.0b013e32833facc9
Hip

Slipped capital femoral epiphysis is a common adolescent hip disorder and when patients present at an age younger than 10 years, it is atypical and there is often some identifiable associated metabolic or endocrinologic abnormality. We present the case of a 5-year-old boy with idiopathic bilateral slipped capital femoral epiphysis. This patient underwent staged bilateral pinning in situ using a uniquely modified screw where the distal threads were machined-off for smooth fixation across the physis. The patient had an unremarkable postoperative course and showed evidence of remodeling and patent physes at 1-year follow-up.

Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA

Correspondence to Dr Alice Chu, MD, Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, New York, NY 10003, USA Tel: + 1 212 598 6261; fax: + 1 646 794 1201; e-mail: alice.chu@nyumc.org

© 2011 Lippincott Williams & Wilkins, Inc.